Clinic
Duncan Regional Hospital, INC
Duncan Regional Hospital, INC was paid $4.15M by Medicaid between Nov 2018 and Nov 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoDUNCAN REGIONAL HOSPITAL, INC
DUNCAN, OK 73533
DUNCAN, OK 73533
33aNPI1386156321assigned 10/31/2017
33bProvider typeRural Health Clinic/Center
28Total paid$4.15M
24GClaims28,287
24DCodes billed37
24AFirst – last monthNov 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Oklahoma
Rank by total paid#8 of 103
Median peer was paid$511K
This provider vs. median8.1×
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 | 344 | $42K | |
| 2019 | 2,847 | $351K | |
| 2020 | 2,119 | $269K | |
| 2021 | 4,785 | $641K | |
| 2022 | 5,728 | $811K | |
| 2023 | 7,073 | $1.19M | |
| 2024incomplete | 5,391 | $854K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 8,562 | 8,084 | $1.75M |
| 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 | 25% | 5,003 | 4,774 | $1.04M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 2,202 | 2,102 | $470K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.5% | 1,855 | 1,855 | $351K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.2% | 1,210 | 1,210 | $176K |
| 96160 | 3.1% | 562 | 561 | $128K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.6% | 1,940 | 1,939 | $66K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 2,448 | 2,443 | $46K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 353 | 353 | $45K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 186 | 183 | $39K |
| 87428 | <1% | 571 | 553 | $25K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 597 | 588 | $9K |
25 more codes
| 90473 | <1% | 227 | $4K | |
| 87807 | <1% | 262 | $3K | |
| 0071A | <1% | 51 | $2K | |
| 99381 | <1% | 12 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 24 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 39 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 67 | $639.68 |
| 0002A | <1% | 14 | $560.00 | |
| 0001A | <1% | 13 | $520.00 | |
| 90474 | <1% | 16 | $293.44 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 26 | $216.00 |
| 90633 | 0% | 96 | $0.00 | |
| 90670 | 0% | 704 | $0.00 | |
| 91300 | 0% | 31 | $0.00 | |
| 90681 | 0% | 39 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| 90698 | 0% | 213 | $0.00 | |
| 90744 | 0% | 97 | $0.00 | |
| 90677 | 0% | 118 | $0.00 | |
| 90651 | 0% | 68 | $0.00 | |
| 90680 | 0% | 223 | $0.00 | |
| 90686 | 0% | 337 | $0.00 | |
| 90656 | 0% | 32 | $0.00 | |
| 91307 | 0% | 49 | $0.00 | |
| 90697 | 0% | 27 | $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 officialVOLINSKI, DOUG (VICE PRESIDENT AND CFO)
Parent organizationDUNCAN REGIONAL HOSPITAL INC
| Provider | Location | Paid |
|---|---|---|
| Duncan Regional Hospital, INC. | Duncan, OK | $17.79M |
| Duncan Regional Hospital, INC | Duncan, OK | $3.56M |
| Duncan Regional Hospital, INC. | Duncan, OK | $3.41M |
| Duncan Regional Hospital, INC | Marlow, OK | $609K |
| Duncan Regional Hospital, INC. | Waurika, OK | $379K |
| Duncan Regional Hospital, INC | Elgin, OK | $338K |
| Duncan Regional Hospital, INC | Waurika, OK | $18K |
| Duncan Regional Hospital, INC | Duncan, OK | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.