Physician
Ada Medical Group PLLC
Ada Medical Group PLLC was paid $1.39M by Medicaid between Jan 2018 and Apr 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoADA MEDICAL GROUP PLLC
ADA, OK 74820
ADA, OK 74820
33aNPI1447796925assigned 01/09/2017
33bProvider typeFamily Medicine Physician
28Total paid$1.39M
24GClaims23,880
24DCodes billed9
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Family Medicine Physician providers in Oklahoma
Rank by total paid#53 of 351
Median peer was paid$153K
This provider vs. median9.1×
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 | 1,226 | $72K | |
| 2019 | 1,829 | $109K | |
| 2020 | 1,968 | $120K | |
| 2021 | 3,704 | $201K | |
| 2022 | 7,838 | $395K | |
| 2023 | 6,115 | $410K | |
| 2024incomplete | 1,200 | $84K |
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 | 46% | 7,129 | 6,616 | $646K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 30% | 7,745 | 7,153 | $422K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 4,108 | 3,804 | $260K |
| 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 | 1.5% | 155 | 154 | $20K |
| 99406 | 1.1% | 1,141 | 1,056 | $16K | |
| 99441 | <1% | 301 | 288 | $12K | |
| 96127 | <1% | 2,811 | 2,612 | $10K | |
| 80305 | <1% | 362 | 360 | $4K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 128 | 126 | $524.59 |
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 officialO'NEIL, PATRICK (OWNER)