Medicaid Provider Spending

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

FALLINGWATER MEDICAL ASSOCIATES, PLLC

NPI: 1538109319 · DUNCAN, OK 73533 · Family Medicine Physician · NPI assigned 06/08/2006

$836K
Total Medicaid Paid
21,895
Total Claims
19,682
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCGOURAN, FRANCIS (PHYSICIAN)
NPI Enumeration Date06/08/2006

Related Entities

Other providers sharing the same authorized official: MCGOURAN, FRANCIS

ProviderCityStateTotal Paid
FALLING WATER MEDICAL ASSOCIATES, PLLC DUNCAN OK $63K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,429 $98K
2019 2,935 $97K
2020 2,778 $101K
2021 3,532 $145K
2022 3,946 $167K
2023 2,823 $120K
2024 2,452 $108K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,407 10,708 $626K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,387 1,320 $94K
99307 2,657 2,507 $24K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 477 467 $18K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 557 543 $15K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 101 96 $9K
99238 Hospital discharge day management, 30 minutes or less 155 153 $8K
99232 Subsequent hospital care, per day, moderate complexity 272 101 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 395 386 $5K
90472 Immunization administration, each additional vaccine (list separately) 134 134 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 195 194 $3K
80061 Lipid panel 300 300 $3K
99223 Prolong inpt eval add15 m 24 24 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 435 423 $3K
83036 Hemoglobin; glycosylated (A1C) 324 321 $3K
96127 687 679 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 144 134 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 184 184 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 376 329 $1K
90688 98 98 $1K
99308 Subsequent nursing facility care, per day, straightforward 25 25 $806.68
87807 64 61 $731.91
G0008 Administration of influenza virus vaccine 279 279 $660.85
0011A 15 15 $461.64
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 20 20 $239.75
80305 12 12 $134.52
82044 24 24 $132.68
96160 110 108 $2.84
90686 37 37 $0.00