Southeast Oklahoma Medical Clinic, LLC

Southeast Oklahoma Medical Clinic, LLC was paid $234K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.

33Billing provider infoSOUTHEAST OKLAHOMA MEDICAL CLINIC, LLC
MCALESTER, OK 74501

33aNPI1467993253assigned 03/14/2017

33bProvider typePrimary Care Clinic/Center

28Total paid$234K

24GClaims3,039

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in Oklahoma

Rank by total paid#39 of 86

Median peer was paid$175K

This provider vs. median1.3×

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	34	$2K
2019	153	$10K
2020	355	$25K
2021	825	$62K
2022	577	$45K
2023	605	$49K
2024incomplete	490	$42K

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	70%	2,280	2,037	$164K
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	28%	658	596	$67K
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%	12	12	$2K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	12	12	$2K
36415	Collection of venous blood by venipuncture	<1%	77	75	$202.92

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 officialHELTON, RICHARD (OWNER)