Clinic
Good Shepherd Community Clinic, INC.
Good Shepherd Community Clinic, INC. was paid $5.96M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoGOOD SHEPHERD COMMUNITY CLINIC, INC.
ARDMORE, OK 73401
ARDMORE, OK 73401
33aNPI1285010413assigned 08/11/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5.96M
24GClaims48,054
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Oklahoma
Rank by total paid#22 of 115
Median peer was paid$1.90M
This provider vs. median3.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 299 | $13K | |
| 2019 | 606 | $73K | |
| 2020 | 2,090 | $232K | |
| 2021 | 8,206 | $1.02M | |
| 2022 | 11,752 | $1.70M | |
| 2023 | 15,442 | $1.76M | |
| 2024incomplete | 9,659 | $1.16M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 94% | 28,736 | 26,089 | $5.63M |
| D7140 | Extraction, erupted tooth or exposed root | 1.5% | 1,371 | 616 | $92K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 11,526 | 10,823 | $91K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 2,536 | 2,456 | $52K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 310 | 252 | $36K |
| D0140 | Limited oral evaluation - problem focused | <1% | 518 | 506 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 160 | 121 | $10K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 579 | 568 | $9K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 211 | 190 | $6K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 29 | 29 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 36 | 29 | $5K |
| 99441 | <1% | 57 | 57 | $3K |
17 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 26 | $958.30 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 112 | $932.04 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 62 | $629.58 |
| G0466 | Community health center visit, new patient | <1% | 13 | $545.70 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 43 | $421.82 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15 | $220.50 |
| 96127 | <1% | 13 | $43.08 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 309 | $21.20 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 29 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 699 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 25 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 137 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 14 | $0.00 |
| D0603 | 0% | 13 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 323 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 138 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMYERS, TERESA (CEO)