Physician
Southern Plains Medical Center INC
Southern Plains Medical Center INC was paid $521K by Medicaid between Jan 2020 and Oct 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoSOUTHERN PLAINS MEDICAL CENTER INC
PAULS VALLEY, OK 73075
PAULS VALLEY, OK 73075
33aNPI1477101715assigned 08/29/2019
33bProvider typeFamily Medicine Physician
28Total paid$521K
24GClaims10,349
24DCodes billed25
24AFirst – last monthJan 2020 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Oklahoma
Rank by total paid#109 of 351
Median peer was paid$153K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2020 | 1,705 | $100K | |
| 2021 | 2,553 | $168K | |
| 2022 | 2,746 | $133K | |
| 2023 | 2,744 | $90K | |
| 2024incomplete | 601 | $30K |
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 | 49% | 2,579 | 2,419 | $255K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 2,007 | 1,934 | $144K |
| 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 | 6.6% | 237 | 236 | $34K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 179 | 179 | $17K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.8% | 289 | 275 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.8% | 526 | 521 | $14K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.9% | 150 | 150 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 640 | 636 | $9K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.5% | 382 | 374 | $8K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 87 | 85 | $3K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 39 | 37 | $3K |
| 99442 | <1% | 28 | 27 | $2K |
13 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 47 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 217 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 34 | $1K |
| 87807 | <1% | 17 | $198.05 | |
| 80305 | <1% | 15 | $168.15 | |
| 96160 | <1% | 151 | $0.23 | |
| 2000F | 0% | 751 | $0.00 | |
| 2001F | 0% | 350 | $0.00 | |
| 2010F | 0% | 1,310 | $0.00 | |
| 3074F | 0% | 125 | $0.00 | |
| 1030F | 0% | 49 | $0.00 | |
| 3078F | 0% | 128 | $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 officialBOGHARA, HARESHKUMAR (OWNER)
Parent organizationSOUTHERN PLAINS MEDICAL CENTER, INC
| Provider | Location | Paid |
|---|---|---|
| Southern Plains Medical Center INC | Chickasha, OK | $1.20M |
| Southern Plains Medical Center INC | Chickasha, OK | $420K |
| Southern Plains Medical Center INC | Oklahoma City, OK | $128.73 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.