Physician
Great Plains Medical Foundation
Great Plains Medical Foundation was paid $2.31M by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoGREAT PLAINS MEDICAL FOUNDATION
OKLAHOMA CITY, OK 73112
OKLAHOMA CITY, OK 73112
33aNPI1285708164assigned 11/20/2006
33bProvider typeFamily Medicine Physician
28Total paid$2.31M
24GClaims36,698
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Oklahoma
Rank by total paid#21 of 351
Median peer was paid$153K
This provider vs. median15×
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 | 6,999 | $371K | |
| 2019 | 6,698 | $353K | |
| 2020 | 5,469 | $268K | |
| 2021 | 5,818 | $355K | |
| 2022 | 4,861 | $369K | |
| 2023 | 4,315 | $374K | |
| 2024incomplete | 2,538 | $223K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 45% | 10,638 | 10,498 | $1.03M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 12,639 | 12,456 | $807K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 5,531 | 5,515 | $237K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.5% | 1,224 | 1,199 | $105K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 370 | 370 | $34K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 320 | 320 | $29K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 121 | 121 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 144 | 144 | $15K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,049 | 1,049 | $9K |
| 90686 | <1% | 1,235 | 1,235 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 400 | 400 | $6K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 50 | 49 | $3K |
20 more codes
| 96127 | <1% | 326 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 16 | $1K |
| 90674 | <1% | 126 | $1K | |
| 0001A | <1% | 40 | $1K | |
| 99442 | <1% | 35 | $876.91 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 222 | $454.63 |
| 90670 | <1% | 134 | $441.49 | |
| 81025 | <1% | 57 | $425.41 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 24 | $356.38 |
| 90656 | <1% | 12 | $251.16 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 15 | $129.60 |
| 90661 | <1% | 17 | $34.50 | |
| 96160 | <1% | 1,768 | $5.94 | |
| 90707 | 0% | 12 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 90700 | 0% | 15 | $0.00 | |
| 90647 | 0% | 76 | $0.00 | |
| 90651 | 0% | 46 | $0.00 | |
| 90723 | 0% | 12 | $0.00 | |
| 90680 | 0% | 12 | $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 officialCLEMENSON, NEAL (CHAIRMAN)