Clinic
Northeastern Oklahoma Community Health Centers INC
Northeastern Oklahoma Community Health Centers INC was paid $16.61M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoNORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC
TAHLEQUAH, OK 74464
TAHLEQUAH, OK 74464
33aNPI1376513002assigned 01/25/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$16.61M
24GClaims180,548
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Oklahoma
Rank by total paid#7 of 115
Median peer was paid$1.90M
This provider vs. median8.7×
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 | 17,577 | $989K | |
| 2019 | 28,563 | $2.37M | |
| 2020 | 25,509 | $2.31M | |
| 2021 | 28,878 | $2.69M | |
| 2022 | 29,722 | $2.91M | |
| 2023 | 28,554 | $2.92M | |
| 2024incomplete | 21,745 | $2.43M |
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 | 95% | 83,528 | 72,030 | $15.82M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 61,295 | 54,476 | $530K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,285 | 3,180 | $58K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,800 | 2,799 | $55K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 935 | 933 | $28K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,656 | 1,653 | $28K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,348 | 1,344 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 714 | 714 | $18K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,717 | 3,672 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 6,790 | 6,694 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,373 | 6,080 | $5K |
| 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% | 235 | 222 | $3K |
14 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 402 | $3K |
| 99381 | <1% | 25 | $2K | |
| 99460 | <1% | 26 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,064 | $2K |
| 83655 | <1% | 762 | $2K | |
| 87807 | <1% | 896 | $2K | |
| 92567 | <1% | 147 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 27 | $2K |
| 85018 | <1% | 1,150 | $588.34 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,194 | $478.53 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 26 | $0.00 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 32 | $0.00 |
| 88738 | 0% | 48 | $0.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 73 | $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 | $7.00M |
| Northeastern Oklahoma Community Health Centers, INC | Tahlequah, OK | $5.79M |
| Northeastern Oklahoma Community Health Centers, INC | Tahlequah, OK | $4.21M |
| 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.