Physician
Muskogee Pediatrics and Family Health Solutions, LLC
Muskogee Pediatrics and Family Health Solutions, LLC was paid $2.64M by Medicaid between May 2020 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoMUSKOGEE PEDIATRICS AND FAMILY HEALTH SOLUTIONS, LLC
MUSKOGEE, OK 74401
MUSKOGEE, OK 74401
33aNPI1316570690assigned 02/14/2020
33bProvider typeFamily Medicine Physician
28Total paid$2.64M
24GClaims50,456
24DCodes billed44
24AFirst – last monthMay 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Oklahoma
Rank by total paid#19 of 351
Median peer was paid$153K
This provider vs. median17×
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 | |
|---|---|---|---|
| 2020 | 6,759 | $290K | |
| 2021 | 12,247 | $598K | |
| 2022 | 12,816 | $671K | |
| 2023 | 10,399 | $579K | |
| 2024incomplete | 8,235 | $496K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 53% | 18,034 | 16,212 | $1.40M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.5% | 2,663 | 2,659 | $251K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.7% | 2,449 | 2,448 | $230K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.6% | 1,669 | 1,641 | $147K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.0% | 1,294 | 1,294 | $133K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.5% | 3,034 | 3,030 | $92K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.4% | 1,951 | 1,896 | $90K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.3% | 4,759 | 4,737 | $87K |
| 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 | 2.4% | 567 | 550 | $63K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.2% | 1,508 | 1,456 | $58K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 1,462 | 1,413 | $42K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 467 | 464 | $14K |
32 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 560 | $8K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 995 | $7K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 56 | $5K |
| 90474 | <1% | 403 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 210 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $1K |
| 99381 | <1% | 12 | $1K | |
| 96161 | <1% | 122 | $610.00 | |
| 87807 | <1% | 47 | $547.55 | |
| 90686 | <1% | 1,159 | $121.03 | |
| 90656 | <1% | 97 | $0.06 | |
| 90651 | <1% | 360 | $0.02 | |
| 90698 | 0% | 344 | $0.00 | |
| 90697 | 0% | 66 | $0.00 | |
| 90744 | 0% | 79 | $0.00 | |
| 90677 | 0% | 88 | $0.00 | |
| 90680 | 0% | 440 | $0.00 | |
| 90696 | 0% | 39 | $0.00 | |
| 91307 | 0% | 25 | $0.00 | |
| 90716 | 0% | 24 | $0.00 | |
| 90670 | 0% | 1,206 | $0.00 | |
| 90734 | 0% | 207 | $0.00 | |
| 90633 | 0% | 367 | $0.00 | |
| 96160 | 0% | 3,463 | $0.00 | |
| 90710 | 0% | 43 | $0.00 | |
| 90715 | 0% | 63 | $0.00 | |
| 90685 | 0% | 17 | $0.00 | |
| 90648 | 0% | 12 | $0.00 | |
| 90621 | 0% | 41 | $0.00 | |
| 91300 | 0% | 13 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 90707 | 0% | 15 | $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 officialTOOTILL, RHONDA (OWNER)