Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OK › Broken Bow › NPI 1366954661
Clinic

Black Oak Clinic LLC

Black Oak Clinic LLC was paid $151K by Medicaid between Oct 2018 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 78% of everything it billed.

33Billing provider infoBLACK OAK CLINIC LLC
BROKEN BOW, OK 74728
33aNPI1366954661assigned 10/26/2017
33bProvider typeClinic/Center
28Total paid$151K
24GClaims1,959
24DCodes billed6
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers

Next to other Clinic/Center providers in Oklahoma

Rank by total paid#120 of 205
Median peer was paid$295K
This provider vs. median0.5×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
201816$799.90
2019137$8K
202078$5K
2021168$13K
2022527$40K
2023595$49K
2024incomplete438$34K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 78% 1,402 1,277 $118K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 450 407 $29K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.6% 22 21 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 30 29 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 17 17 $250.24
96160 <1% 38 35 $1.14

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 officialBLACK, MEGAN (OWNER/NURSE PRACTITIONER)