Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC

NPI: 1518070481 · HULBERT, OK 74441 · Federally Qualified Health Center (FQHC) · NPI assigned 08/16/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ROSENTHAL, SCOTT controls 15+ related entities in our dataset. Read more

$3.30M
Total Medicaid Paid
35,099
Total Claims
32,205
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROSENTHAL, SCOTT (CEO)
NPI Enumeration Date08/16/2006

Related Entities

Other providers sharing the same authorized official: ROSENTHAL, SCOTT

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 4,288 $450K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 17,132 15,483 $3.18M
G0467 Federally 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 2,920 2,658 $97K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,810 9,124 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,693 3,441 $7K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 220 215 $327.29
80305 22 20 $145.73
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 244 236 $73.50
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 90 90 $73.12
36415 Collection of venous blood by venipuncture 84 84 $44.01
83036 Hemoglobin; glycosylated (A1C) 115 114 $37.80
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 245 225 $10.00
90686 32 32 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 46 46 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 372 363 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 32 32 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 17 17 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $0.00