Ahs Claremore Regional Hospital, LLC
Ahs Claremore Regional Hospital, LLC was paid $2.43M by Medicaid between May 2021 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
CLAREMORE, OK 74017
Next to other Family Medicine Physician providers in Oklahoma
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 929 | $50K | |
| 2022 | 3,757 | $516K | |
| 2023 | 6,006 | $946K | |
| 2024incomplete | 5,827 | $916K |
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 | 34% | 3,856 | 3,196 | $828K |
| 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 | 32% | 3,878 | 3,584 | $788K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 21% | 1,850 | 1,658 | $503K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.4% | 645 | 616 | $181K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 113 | 108 | $28K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 92 | 88 | $27K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 1,756 | 1,749 | $25K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,057 | 1,056 | $20K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 65 | 49 | $15K |
| 99381 | <1% | 43 | 26 | $9K | |
| 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% | 14 | 14 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 30 | 30 | $1K |
18 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 137 | $793.11 |
| 87400 | <1% | 13 | $314.25 | |
| 90677 | <1% | 291 | $279.06 | |
| 87807 | <1% | 61 | $174.75 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 17 | $135.69 |
| 90474 | <1% | 173 | $74.34 | |
| 87428 | <1% | 71 | $29.39 | |
| 90633 | <1% | 112 | $0.03 | |
| 90670 | <1% | 585 | $0.01 | |
| 90648 | 0% | 106 | $0.00 | |
| 3078F | 0% | 27 | $0.00 | |
| 90681 | 0% | 93 | $0.00 | |
| 90710 | 0% | 17 | $0.00 | |
| 90723 | 0% | 66 | $0.00 | |
| 90680 | 0% | 302 | $0.00 | |
| 3008F | 0% | 471 | $0.00 | |
| 90697 | 0% | 523 | $0.00 | |
| 3074F | 0% | 55 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Lovelace Health System, LLC | Albuquerque, NM | $57.71M |
| Lovelace Health System LLC | Albuquerque, NM | $45.27M |
| Southwest Medical Associates, LLC | Albuquerque, NM | $41.40M |
| Lovelace Health System, LLC | Albuquerque, NM | $31.24M |
| Lovelace Health System LLC | Roswell, NM | $20.13M |
| Jacksonville Hospital LLC | Jacksonville, TX | $9.41M |
| Henderson Hospital, LLC | Henderson, TX | $8.52M |
| Athens Hospital, LLC | Athens, TX | $8.32M |
| Etmc Physician Group INC. | Tyler, TX | $8.03M |
| Tyler Regional Hospital LLC | Tyler, TX | $7.94M |
| Lovelace Unm Rehabilitation Hospital LLC | Albuquerque, NM | $6.30M |
| Pocatello Hospital LLC | Pocatello, ID | $6.11M |
| Jacksonville Hospital LLC | Jacksonville, TX | $5.93M |
| Ahs Pryor Hospital, LLC | Pryor, OK | $5.61M |
| Bsa Hospital LLC | Amarillo, TX | $4.96M |
| Pittsburg Hospital LLC | Pittsburg, TX | $4.83M |
| Ahs Claremore Regional Hospital, LLC. | Claremore, OK | $4.81M |
| Ahs Henryetta Hospital LLC | Henryetta, OK | $4.27M |
| Pittsburg Hospital LLC | Pittsburg, TX | $3.98M |
| Topeka Hospital, LLC | Topeka, KS | $3.94M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.