Clinic
Duncan Regional Hospital, INC.
Duncan Regional Hospital, INC. was paid $3.41M by Medicaid between Nov 2021 and Nov 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.
33Billing provider infoDUNCAN REGIONAL HOSPITAL, INC.
DUNCAN, OK 73533
DUNCAN, OK 73533
33aNPI1447734405assigned 09/17/2018
33bProvider typeRural Health Clinic/Center
28Total paid$3.41M
24GClaims19,126
24DCodes billed20
24AFirst – last monthNov 2021 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Oklahoma
Rank by total paid#11 of 103
Median peer was paid$511K
This provider vs. median6.7×
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.
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 | |
|---|---|---|---|
| 2021 | 1,075 | $148K | |
| 2022 | 7,868 | $1.42M | |
| 2023 | 6,343 | $1.15M | |
| 2024incomplete | 3,840 | $692K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 77% | 12,802 | 11,910 | $2.65M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 2,302 | 2,196 | $522K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.9% | 1,268 | 1,256 | $65K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 224 | 224 | $57K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 201 | 187 | $52K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 132 | 132 | $30K |
| 87428 | <1% | 316 | 313 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 464 | 464 | $8K |
| 80305 | <1% | 843 | 822 | $8K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 184 | 184 | $5K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 148 | 101 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | 13 | $2K |
8 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 12 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 40 | $1K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 16 | $974.29 |
| 87807 | <1% | 59 | $699.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 17 | $404.42 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $205.80 |
| 90686 | <1% | 15 | $19.22 | |
| 90670 | 0% | 56 | $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 (CFO)
Parent organizationDUNCAN REGIONAL HOSPITAL, INC.
| Provider | Location | Paid |
|---|---|---|
| Duncan Regional Hospital, INC. | Duncan, OK | $17.79M |
| Duncan Regional Hospital, INC | Duncan, OK | $4.15M |
| Duncan Regional Hospital, INC | Duncan, OK | $3.56M |
| 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.