Clinic
Northeastern Oklahoma Community Health Centers INC
Northeastern Oklahoma Community Health Centers INC was paid $3.30M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoNORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC
HULBERT, OK 74441
HULBERT, OK 74441
33aNPI1518070481assigned 08/16/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.30M
24GClaims35,099
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Oklahoma
Rank by total paid#36 of 115
Median peer was paid$1.90M
This provider vs. median1.7×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ROSENTHAL, SCOTT controls 15+ related entities in our dataset. Read more
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 | 8,223 | $739K | |
| 2019 | 4,068 | $359K | |
| 2020 | 3,470 | $320K | |
| 2021 | 3,905 | $361K | |
| 2022 | 5,484 | $509K | |
| 2023 | 5,661 | $562K | |
| 2024incomplete | 4,288 | $450K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 96% | 17,132 | 15,483 | $3.18M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 2.9% | 2,920 | 2,658 | $97K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 9,810 | 9,124 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,693 | 3,441 | $7K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 220 | 215 | $327.29 |
| 80305 | <1% | 22 | 20 | $145.73 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 244 | 236 | $73.50 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 90 | 90 | $73.12 |
| 36415 | Collection of venous blood by venipuncture | <1% | 84 | 84 | $44.01 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 115 | 114 | $37.80 |
| 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 | <1% | 245 | 225 | $10.00 |
| 90686 | 0% | 32 | 32 | $0.00 |
6 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 46 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 12 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 372 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 32 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 17 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 13 | $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 officialROSENTHAL, SCOTT (CEO)
| Provider | Location | Paid |
|---|---|---|
| Northeastern Oklahoma Community Health Centers INC | Tahlequah, OK | $16.61M |
| Northeastern Oklahoma Community Health Centers, INC | Tahlequah, OK | $7.00M |
| Northeastern Oklahoma Community Health Centers, INC | Tahlequah, OK | $5.79M |
| Northeastern Oklahoma Community Health Centers, INC | Tahlequah, OK | $4.21M |
| Northeastern Oklahoma Community Health Centers, INC | Westville, OK | $3.01M |
| Northeastern Oklahoma Community Health Centers, INC. | Tahlequah, OK | $2.56M |
| Northeastern Oklahoma Community Health Centers, INC | Muskogee, OK | $2.16M |
| Northeastern Oklahoma Community Health Centers, INC. | Tahlequah, OK | $1.91M |
| Northeastern Oklahoma Community Health Centers, INC. | Tahlequah, OK | $868K |
| Northeastern Oklahoma Community Health Centers INC | Pryor, OK | $729K |
| Pain Management Centers of America, LLC | Langhorne, PA | $74K |
| Northeastern Oklahoma Community Health Centers, INC. | Tahlequah, OK | $69K |
| Rosenthal Chiropractic, P.A. | Wilmington, DE | $16K |
| DR. Scott Rosenthal, P.C. | Wyomissing, PA | $8K |
| Neohealth Oklahoma Community Health Centers, INC. | Tahlequah, OK | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.