Physician
Adair County Health Center,inc.
Adair County Health Center,inc. was paid $3.76M by Medicaid between Jan 2018 and Nov 2024, across 47 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoADAIR COUNTY HEALTH CENTER,INC.
STILWELL, OK 74960
STILWELL, OK 74960
33aNPI1326017492assigned 03/14/2006
33bProvider typeFamily Medicine Physician
28Total paid$3.76M
24GClaims71,713
24DCodes billed47
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Oklahoma
Rank by total paid#9 of 351
Median peer was paid$153K
This provider vs. median25×
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 | 15,729 | $614K | |
| 2019 | 13,376 | $574K | |
| 2020 | 10,676 | $536K | |
| 2021 | 8,736 | $547K | |
| 2022 | 9,793 | $626K | |
| 2023 | 6,998 | $468K | |
| 2024incomplete | 6,405 | $397K |
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 | 55% | 30,037 | 27,504 | $2.08M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 20,673 | 19,070 | $1.25M |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.7% | 786 | 781 | $65K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.0% | 1,161 | 1,155 | $39K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.0% | 766 | 761 | $38K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 3,029 | 1,201 | $37K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 828 | 807 | $32K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 930 | 920 | $30K |
| 99221 | <1% | 712 | 703 | $28K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,671 | 2,331 | $28K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 897 | 894 | $27K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 811 | 801 | $11K |
35 more codes
| 80061 | Lipid panel | <1% | 931 | $10K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 106 | $9K |
| 99283 | Emergency room visit (moderate) | <1% | 146 | $9K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 582 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 438 | $6K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 611 | $5K |
| 87634 | <1% | 71 | $5K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 145 | $5K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 117 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 246 | $3K |
| 90688 | <1% | 160 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 27 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 169 | $2K |
| 82962 | <1% | 1,027 | $2K | |
| 80305 | <1% | 218 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 549 | $2K |
| 81003 | <1% | 741 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 16 | $2K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 684 | $1K |
| 99218 | <1% | 26 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $938.96 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 580 | $887.92 |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | <1% | 93 | $859.92 |
| 81025 | <1% | 117 | $811.28 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 79 | $652.33 |
| 99217 | <1% | 12 | $418.63 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 59 | $344.68 |
| 99315 | <1% | 12 | $74.58 | |
| 36416 | <1% | 24 | $58.83 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 16 | $5.42 |
| 90686 | 0% | 332 | $0.00 | |
| 90651 | 0% | 19 | $0.00 | |
| 90734 | 0% | 18 | $0.00 | |
| 90670 | 0% | 14 | $0.00 | |
| 90685 | 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 officialADAMS, ALAN (CEO)
Parent organizationADAIR COUNTY HEALTH CENTER,INC.
| Provider | Location | Paid |
|---|---|---|
| Adair County Health Center, INC. | Stilwell, OK | $2.90M |
| Adair County Health Center, INC. | Stilwell, OK | $413K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.