Hughes, John

Hughes, John was paid $299K by Medicaid between Jan 2018 and Sep 2022, across 4 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 55% of everything it billed.

33Billing provider infoHUGHES, JOHN
OKLAHOMA CITY, OK 73119

33aNPI1548289655assigned 07/19/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$299K

24GClaims3,343

24DCodes billed4

24AFirst – last monthJan 2018 – Sep 2022

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Oklahoma

Rank by total paid#5 of 29

Median peer was paid$53K

This provider vs. median5.6×

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
2018	797	$55K
2019	688	$54K
2020	575	$54K
2021	759	$81K
2022	524	$56K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	55%	1,227	1,227	$166K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28%	1,520	1,458	$83K
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	16%	484	469	$46K
73562		1.3%	112	111	$4K

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.