Physician
Paul Firth MD PC
Paul Firth MD PC was paid $4.91M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoPAUL FIRTH MD PC
ELK CITY, OK 73644
ELK CITY, OK 73644
33aNPI1568525558assigned 12/19/2006
33bProvider typePediatrics Physician
28Total paid$4.91M
24GClaims87,318
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Oklahoma
Rank by total paid#2 of 94
Median peer was paid$204K
This provider vs. median24×
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 | 11,214 | $607K | |
| 2019 | 11,718 | $692K | |
| 2020 | 11,833 | $695K | |
| 2021 | 12,550 | $667K | |
| 2022 | 14,392 | $794K | |
| 2023 | 14,876 | $830K | |
| 2024incomplete | 10,735 | $625K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 57% | 28,963 | 26,529 | $2.82M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.7% | 3,714 | 3,617 | $478K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.2% | 4,783 | 4,536 | $352K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.3% | 9,018 | 8,995 | $310K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.3% | 1,849 | 1,849 | $164K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.2% | 1,748 | 1,747 | $158K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.9% | 5,375 | 5,271 | $142K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.7% | 3,436 | 3,362 | $131K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.1% | 7,454 | 7,294 | $105K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 813 | 812 | $79K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 773 | 754 | $65K |
| 96127 | <1% | 6,686 | 6,546 | $31K |
28 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,238 | $28K |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | <1% | 340 | $11K |
| 92567 | <1% | 803 | $10K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 51 | $7K |
| 94010 | <1% | 212 | $6K | |
| 95117 | <1% | 365 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 48 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 50 | $1K |
| 99188 | <1% | 67 | $703.27 | |
| 99441 | <1% | 13 | $638.17 | |
| 98966 | <1% | 27 | $318.96 | |
| 99051 | <1% | 47 | $317.25 | |
| 96161 | <1% | 38 | $105.00 | |
| 90686 | <1% | 2,839 | $99.95 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 47 | $91.98 |
| 96160 | <1% | 2,697 | $4.52 | |
| 90656 | <1% | 157 | $0.20 | |
| 90651 | <1% | 57 | $0.01 | |
| 90734 | <1% | 112 | $0.01 | |
| 90647 | 0% | 278 | $0.00 | |
| 90723 | 0% | 228 | $0.00 | |
| 90680 | 0% | 169 | $0.00 | |
| 90620 | 0% | 49 | $0.00 | |
| 90710 | 0% | 73 | $0.00 | |
| 90670 | 0% | 551 | $0.00 | |
| 90671 | 0% | 85 | $0.00 | |
| 90633 | 0% | 53 | $0.00 | |
| 90715 | 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 officialFIRTH, PAUL (PRESIDENT)