Physician
Spectrum Healthcare Solutions, PLLC
Spectrum Healthcare Solutions, PLLC was paid $879K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 37% of everything it billed.
33Billing provider infoSPECTRUM HEALTHCARE SOLUTIONS, PLLC
OKLAHOMA CITY, OK 73118
OKLAHOMA CITY, OK 73118
33aNPI1558816850assigned 08/17/2016
33bProvider typeGeriatric Medicine (Family Medicine) Physician
28Total paid$879K
24GClaims38,099
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Geriatric Medicine (Family Medicine) Physician providers in Oklahoma
Rank by total paid#2 of 6
Median peer was paid$71K
This provider vs. median12×
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 | 2,000 | $39K | |
| 2019 | 4,405 | $82K | |
| 2020 | 6,496 | $111K | |
| 2021 | 5,305 | $96K | |
| 2022 | 5,971 | $118K | |
| 2023 | 7,484 | $224K | |
| 2024incomplete | 6,438 | $209K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 37% | 18,483 | 15,867 | $329K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 25% | 5,468 | 1,305 | $217K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 24% | 10,115 | 7,766 | $209K |
| 99310 | Prolong nursin fac eval 15m | 4.1% | 1,700 | 1,571 | $36K |
| 99305 | 2.7% | 634 | 622 | $24K | |
| 99223 | Prolong inpt eval add15 m | 2.2% | 149 | 149 | $20K |
| 99306 | Prolong nursin fac eval 15m | 1.5% | 403 | 396 | $13K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.4% | 144 | 85 | $12K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 209 | 125 | $8K |
| 99307 | <1% | 581 | 534 | $8K | |
| 99315 | <1% | 138 | 134 | $2K | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 63 | 58 | $1K |
1 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $1K |
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 officialCLARK, MICHELLE (COO)
| Provider | Location | Paid |
|---|---|---|
| Transitional Care Organization LLC | Oklahoma City, OK | $402K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.