Managed care
Altus Premier Health Clinic P.L.L.C.
Altus Premier Health Clinic P.L.L.C. was paid $1.00M by Medicaid between Sep 2021 and Nov 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.
33Billing provider infoALTUS PREMIER HEALTH CLINIC P.L.L.C.
ALTUS, OK 73521
ALTUS, OK 73521
33aNPI1528408523assigned 07/05/2013
33bProvider typePreferred Provider Organization
28Total paid$1.00M
24GClaims18,692
24DCodes billed17
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers
Next to other Preferred Provider Organization providers in Oklahoma
Rank by total paid#2 of 9
Median peer was paid$73K
This provider vs. median14×
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 | 1,688 | $90K | |
| 2022 | 6,292 | $339K | |
| 2023 | 6,341 | $338K | |
| 2024incomplete | 4,371 | $236K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 79% | 12,085 | 10,639 | $790K |
| 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 | 7.7% | 1,166 | 1,104 | $78K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 6.5% | 1,677 | 1,627 | $65K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.9% | 1,020 | 995 | $29K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.5% | 860 | 805 | $15K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 137 | 137 | $13K |
| 36415 | Collection of venous blood by venipuncture | <1% | 923 | 895 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 184 | 184 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 153 | 149 | $2K |
| 90686 | <1% | 114 | 114 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | 18 | $889.92 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 34 | 24 | $397.09 |
5 more codes
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 officialDAWOD, ABDALLAH (M.D.)