Clinic
Clinton Hma LLC
Clinton Hma LLC was paid $624K by Medicaid between Jan 2018 and Oct 2022, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoCLINTON HMA LLC
CLINTON, OK 73601
CLINTON, OK 73601
33aNPI1386171460assigned 05/19/2017
33bProvider typeRural Health Clinic/Center
28Total paid$624K
24GClaims4,511
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Rural Health Clinic/Center providers in Oklahoma
Rank by total paid#41 of 103
Median peer was paid$511K
This provider vs. median1.2×
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.
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 | 1,263 | $126K | |
| 2019 | 980 | $137K | |
| 2020 | 750 | $121K | |
| 2021 | 768 | $121K | |
| 2022 | 750 | $119K |
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 | 62% | 2,752 | 2,588 | $388K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 20% | 776 | 718 | $127K |
| 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 | 9.1% | 614 | 550 | $57K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.7% | 218 | 218 | $29K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.7% | 139 | 139 | $23K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 12 | 12 | $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 officialKANE, CHERI (VICE PRESIDENT/ AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Shelbyville Hospital Company LLC | Shelbyville, TN | $85K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.