Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC

NPI: 1376513002 · TAHLEQUAH, OK 74464 · Federally Qualified Health Center (FQHC) · NPI assigned 01/25/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ROSENTHAL, SCOTT controls 15+ related entities in our dataset. Read more

$16.61M
Total Medicaid Paid
180,548
Total Claims
161,615
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROSENTHAL, SCOTT (CEO)
NPI Enumeration Date01/25/2006

Related Entities

Other providers sharing the same authorized official: ROSENTHAL, SCOTT

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 21,745 $2.43M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 83,528 72,030 $15.82M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 61,295 54,476 $530K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,285 3,180 $58K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,800 2,799 $55K
90472 Immunization administration, each additional vaccine (list separately) 935 933 $28K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,656 1,653 $28K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,348 1,344 $24K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 714 714 $18K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,717 3,672 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,790 6,694 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,373 6,080 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 235 222 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 402 402 $3K
99381 25 25 $2K
99460 26 26 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 3,064 3,043 $2K
83655 762 760 $2K
87807 896 884 $2K
92567 147 145 $2K
99238 Hospital discharge day management, 30 minutes or less 27 27 $2K
85018 1,150 1,147 $588.34
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,194 1,180 $478.53
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26 26 $0.00
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 32 32 $0.00
88738 48 48 $0.00
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 73 73 $0.00