Medicaid Provider Spending

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

INTEGRIS HEALTH PONCA CITY HOSPITAL INC

NPI: 1528830163 · PONCA CITY, OK 74601 · Family Medicine Physician · NPI assigned 10/26/2023

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

Authorized official WALLACE, DONNA controls 14+ related entities in our dataset. Read more

$79K
Total Medicaid Paid
331
Total Claims
248
Beneficiaries
2
Codes Billed
2024-04
First Month
2024-09
Last Month

Provider Details

Authorized OfficialWALLACE, DONNA (ASSISTANT TREASURER)
Parent OrganizationINTEGRIS HEALTH PONCA CITY HOSPITAL INC
NPI Enumeration Date10/26/2023

Related Entities

Other providers sharing the same authorized official: WALLACE, DONNA

ProviderCityStateTotal Paid
INTEGRIS MIAMI HOSPITAL MIAMI OK $7.24M
INTEGRIS CANADIAN VALLEY HOSPITAL YUKON OK $7.12M
INTEGRIS BASS BAPTIST HEALTH CENTER ENID OK $6.42M
INTEGRIS GROVE HOSPITAL GROVE OK $5.80M
INTEGRIS HEALTH PONCA CITY HOSPITAL INC PONCA CITY OK $818K
INTEGRIS GROVE HOSPITAL GROVE OK $444K
INTEGRIS BASS BAPTIST HEALTH CENTER MEDFORD OK $376K
INTEGRIS BASS BAPTIST HEALTH CENTER WAYNOKA OK $303K
INTEGRIS HEALTH WOODWARD HOSPITAL INC WOODWARD OK $71K
INTEGRIS HEALTH WOODWARD HOSPITAL INC WOODWARD OK $68K
INTEGRIS HEALTH WOODWARD HOSPITAL INC WOODWARD OK $32K
INTEGRIS HEALTH WOODWARD HOSPITAL INC WOODWARD OK $19K
INTEGRIS HEALTH WOODWARD HOSPITAL INC MOORELAND OK $6K
INTEGRIS HEALTH WOODWARD HOSPITAL INC WOODWARD OK $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 331 $79K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 313 231 $78K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 18 17 $2K