TISHOMINGO DOCTOR'S MEDICAL CLINIC, PC

NPI: 1508096447 · TISHOMINGO, OK 73460 · Multi-Specialty Clinic/Center · NPI assigned 07/24/2009

$1.46M

Total Medicaid Paid

26,823

Total Claims

25,703

Beneficiary Records

Codes Billed

2018-01

First Month

2023-07

Last Month

Provider Details

Authorized Official	RAGAN, VIRGINIA (DIRECTOR OF OPERATIONS)
NPI Enumeration Date	07/24/2009

Other providers sharing the same authorized official: RAGAN, VIRGINIA

Provider	City	State	Total Paid
SOUTHEASTERN OKLAHOMA FAMILY SERVICES	EUFAULA	OK	$5.52M
SOUTHERN OKLAHOMA TREATMENT SERVICES, INC.	MCALESTER	OK	$5.01M
SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC.	ARDMORE	OK	$2.46M
SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC.	ADA	OK	$2.16M
SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC.	ATOKA	OK	$1.13M
SOUTHERN OKLAHOMA TREATMENT SERVICES, INC.	DURANT	OK	$437K
SOUTHERN OKLAHOMA TREATMENT SERVICES, INC.	MADILL	OK	$278K
SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC.	SULPHUR	OK	$119K
SOUTHERN OKLAHOMA TREATMENT SERICES, INC.	ADA	OK	$103K
SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC.	EUFUALA	OK	$98K

Code	Description	Claims	Bene. Records	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24,942	23,851	$1.37M
99442		614	611	$37K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	487	487	$27K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	639	625	$18K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	70	62	$6K
99308	Subsequent nursing facility care, per day, straightforward	71	67	$2K