Clinic
Northeastern Oklahoma Community Health Centers, INC
Northeastern Oklahoma Community Health Centers, INC was paid $4.21M by Medicaid between Aug 2018 and Dec 2024, across 11 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoNORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC
TAHLEQUAH, OK 74464
TAHLEQUAH, OK 74464
33aNPI1366744534assigned 11/22/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.21M
24GClaims42,789
24DCodes billed11
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Oklahoma
Rank by total paid#30 of 115
Median peer was paid$1.90M
This provider vs. median2.2×
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.
Entity ProliferationAuthorized official ROSENTHAL, SCOTT controls 15+ related entities in our dataset. Read more
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 | 2,130 | $189K | |
| 2019 | 5,582 | $496K | |
| 2020 | 4,475 | $415K | |
| 2021 | 6,124 | $590K | |
| 2022 | 9,201 | $878K | |
| 2023 | 8,855 | $922K | |
| 2024incomplete | 6,422 | $717K |
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 | 96% | 21,414 | 19,305 | $4.04M |
| 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 | 3.1% | 3,794 | 3,471 | $129K |
| 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% | 14,496 | 13,348 | $34K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,471 | 1,411 | $3K |
| 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% | 830 | 800 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 41 | 38 | $746.81 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 216 | 213 | $294.48 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 24 | 24 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 262 | 259 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 159 | 157 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 82 | 82 | $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 officialROSENTHAL, SCOTT (CEO)
| Provider | Location | Paid |
|---|---|---|
| Northeastern Oklahoma Community Health Centers INC | Tahlequah, OK | $16.61M |
| Northeastern Oklahoma Community Health Centers, INC | Tahlequah, OK | $7.00M |
| Northeastern Oklahoma Community Health Centers, INC | Tahlequah, OK | $5.79M |
| Northeastern Oklahoma Community Health Centers INC | Hulbert, OK | $3.30M |
| Northeastern Oklahoma Community Health Centers, INC | Westville, OK | $3.01M |
| Northeastern Oklahoma Community Health Centers, INC. | Tahlequah, OK | $2.56M |
| Northeastern Oklahoma Community Health Centers, INC | Muskogee, OK | $2.16M |
| Northeastern Oklahoma Community Health Centers, INC. | Tahlequah, OK | $1.91M |
| Northeastern Oklahoma Community Health Centers, INC. | Tahlequah, OK | $868K |
| Northeastern Oklahoma Community Health Centers INC | Pryor, OK | $729K |
| Pain Management Centers of America, LLC | Langhorne, PA | $74K |
| Northeastern Oklahoma Community Health Centers, INC. | Tahlequah, OK | $69K |
| Rosenthal Chiropractic, P.A. | Wilmington, DE | $16K |
| DR. Scott Rosenthal, P.C. | Wyomissing, PA | $8K |
| Neohealth Oklahoma Community Health Centers, INC. | Tahlequah, OK | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.