Long Term Care Specialists, INC

Long Term Care Specialists, INC was paid $3.31M by Medicaid between Oct 2021 and Dec 2024, across 23 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 72% of everything it billed.

33Billing provider infoLONG TERM CARE SPECIALISTS, INC
OKLAHOMA CITY, OK 73142

33aNPI1497761159assigned 08/01/2006

33bProvider typeGeriatric Medicine (Family Medicine) Physician

28Total paid$3.31M

24GClaims157,310

24DCodes billed23

24AFirst – last monthOct 2021 – Dec 2024

Compared with peers

Next to other Geriatric Medicine (Family Medicine) Physician providers in Oklahoma

Rank by total paid#1 of 6

Median peer was paid$71K

This provider vs. median47×

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	9,432	$155K
2022	51,753	$981K
2023	50,375	$1.09M
2024incomplete	45,750	$1.09M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	72%	106,524	81,945	$2.39M
99308	Subsequent nursing facility care, per day, straightforward	17%	30,407	26,021	$565K
99349		3.6%	2,159	2,049	$118K
99305		2.5%	3,363	3,262	$83K
99310	Prolong nursin fac eval 15m	1.5%	1,387	1,217	$50K
99497		1.4%	4,602	4,482	$47K
99490	Ccm add 20min	<1%	3,628	3,628	$20K
99306	Prolong nursin fac eval 15m	<1%	203	200	$8K
99307		<1%	1,355	817	$7K
G3002	Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.)	<1%	863	858	$6K
99348		<1%	188	181	$5K
99439		<1%	808	808	$3K

11 more codes

99336		<1%	209	$3K
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	329	$1K
99483	Prolong outpt/office vis	<1%	46	$1K
99422		<1%	433	$991.36
99407		<1%	37	$915.75
99406		<1%	56	$767.76
96138		<1%	66	$589.06
99423		<1%	126	$531.05
99421		<1%	407	$521.21
99304		<1%	36	$492.91
96160		<1%	78	$16.94

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 officialHERNDON, JILLIAN (BILLING DIRECTOR)