Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Mark 5 Care Group, PLLC

Mark 5 Care Group, PLLC was paid $105K by Medicaid between Jan 2018 and Sep 2022, across 10 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 29% of everything it billed.

33Billing provider infoMARK 5 CARE GROUP, PLLC
OKLAHOMA CITY, OK 73103
33aNPI1568722817assigned 05/21/2012
28Total paid$105K
24GClaims1,928
24DCodes billed10
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers

Next to other Internal Medicine Physician providers in Oklahoma

Rank by total paid#44 of 108
Median peer was paid$75K
This provider vs. median1.4×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018254$9K
201976$1K
2020259$8K
2021502$19K
2022837$68K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 29% 459 216 $30K
99223 Prolong inpt eval add15 m 23% 151 149 $25K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 19% 647 374 $20K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 18% 318 130 $19K
99222 Initial hospital care, per day, moderate complexity 5.4% 86 81 $6K
99239 Hospital discharge day management, more than 30 minutes 2.8% 86 84 $3K
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth 1.2% 57 54 $1K
93000 <1% 45 45 $486.24
11045 <1% 18 12 $466.11
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 61 61 $326.71

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 officialRADER, ROBERT (PRESIDENT)
Same official

Other billing entities under RADER, ROBERT

Full network →
ProviderLocationPaid
Well Again Medical Care, PLLCOklahoma City, OK$46K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.