Hospital
Integris Health Ponca City Hospital INC
Integris Health Ponca City Hospital INC was paid $818K by Medicaid between Jan 2024 and Nov 2024, across 39 billing codes. Its largest line is 99284, emergency room visit (serious) — 31% of everything it billed.
33Billing provider infoINTEGRIS HEALTH PONCA CITY HOSPITAL INC
PONCA CITY, OK 74601
PONCA CITY, OK 74601
33aNPI1548047616assigned 09/12/2023
33bProvider typeGeneral Acute Care Hospital
28Total paid$818K
24GClaims10,794
24DCodes billed39
24AFirst – last monthJan 2024 – Nov 2024
Compared with peers
Next to other General Acute Care Hospital providers in Oklahoma
Rank by total paid#53 of 75
Median peer was paid$3.66M
This provider vs. median0.2×
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 WALLACE, DONNA controls 14+ 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 | |
|---|---|---|---|
| 2024incomplete | 10,794 | $818K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 31% | 1,025 | 1,000 | $253K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 30% | 1,461 | 1,439 | $243K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 8.5% | 208 | 204 | $69K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 7.7% | 463 | 451 | $63K |
| 80053 | Comprehensive metabolic panel | 4.7% | 1,000 | 971 | $39K |
| 96375 | Therapeutic injection; each additional sequential IV push | 2.2% | 331 | 320 | $18K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.0% | 119 | 119 | $16K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.9% | 383 | 380 | $16K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.7% | 131 | 131 | $14K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 1.5% | 90 | 90 | $12K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 1.2% | 159 | 156 | $10K |
| 96361 | Intravenous infusion, hydration; each additional hour | 1.1% | 168 | 161 | $9K |
27 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 538 | $8K |
| 71045 | Radiologic examination, chest; single view | <1% | 412 | $8K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,076 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 556 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 117 | $7K |
| 81001 | <1% | 561 | $3K | |
| 83735 | <1% | 555 | $3K | |
| 84703 | <1% | 185 | $3K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 51 | $2K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 19 | $2K |
| 83605 | <1% | 117 | $1K | |
| 84484 | <1% | 105 | $1K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 13 | $1K |
| 87400 | <1% | 43 | $1K | |
| 83690 | <1% | 150 | $821.42 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 159 | $797.15 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 14 | $276.32 |
| 87430 | <1% | 26 | $224.25 | |
| 87807 | <1% | 14 | $163.10 | |
| 80306 | <1% | 12 | $152.50 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 159 | $71.84 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 124 | $0.00 |
| J2270 | Injection, morphine sulfate, up to 10 mg | 0% | 26 | $0.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 103 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 94 | $0.00 |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 15 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 12 | $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 officialWALLACE, DONNA (ASSISTANT TREASURER)
| Provider | Location | 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 Grove Hospital | Grove, OK | $444K |
| Integris Bass Baptist Health Center | Medford, OK | $376K |
| Integris Bass Baptist Health Center | Waynoka, OK | $303K |
| Integris Health Ponca City Hospital INC | Ponca City, OK | $79K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.