Physician
Falling Water Medical Associates, PLLC
Falling Water Medical Associates, PLLC was paid $63K by Medicaid between Jan 2018 and Oct 2018, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.
33Billing provider infoFALLING WATER MEDICAL ASSOCIATES, PLLC
DUNCAN, OK 73533
DUNCAN, OK 73533
33aNPI1407366784assigned 10/02/2017
33bProvider typeFamily Medicine Physician
28Total paid$63K
24GClaims1,126
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Family Medicine Physician providers in Oklahoma
Rank by total paid#212 of 351
Median peer was paid$153K
This provider vs. median0.4×
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 | 1,126 | $63K |
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 | 82% | 917 | 804 | $52K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 90 | 83 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 64 | 64 | $1K |
| 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 | 1.7% | 14 | 13 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.4% | 29 | 29 | $864.96 |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.2% | 12 | 12 | $726.04 |
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 officialMCGOURAN, FRANCIS (PHYSICIAN)
Parent organizationFALLING WATER MEDICAL ASSOCIATES, PLLC
| Provider | Location | Paid |
|---|---|---|
| Fallingwater Medical Associates, PLLC | Duncan, OK | $836K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.