Och Pulmonology
Och Pulmonology was paid $47K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 92% of everything it billed.
STARKVILLE, MS 39759
Next to other Clinic/Center providers in Mississippi
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,322 | $10K | |
| 2019 | 948 | $9K | |
| 2020 | 720 | $8K | |
| 2021 | 579 | $8K | |
| 2022 | 358 | $4K | |
| 2023 | 77 | $2K | |
| 2024incomplete | 194 | $5K |
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 | 92% | 1,315 | 1,191 | $43K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 7.2% | 1,104 | 1,035 | $3K |
| 94060 | <1% | 13 | 12 | $155.49 | |
| 1036F | <1% | 513 | 504 | $68.05 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 36 | 19 | $47.50 |
| 94726 | <1% | 13 | 12 | $32.43 | |
| 94729 | <1% | 13 | 12 | $27.09 | |
| 3023F | <1% | 398 | 388 | $12.15 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 740 | 722 | $0.00 |
| G8854 | Documentation of reason(s) for not objectively reporting adherence to evidence-based therapy (e.g., patients who have been diagnosed with a terminal or advanced disease with an expected life span of less than 6 months, patients who decline therapy, patients who do not return for follow-up at least annually, patients unable to access/afford therapy, patient's insurance will not cover therapy) | 0% | 53 | 51 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Oktibbeha County Hospital | Starkville, MS | $19.84M |
| Oktibbeha County Hospital | Starkville, MS | $1.91M |
| Och Center for Pain Management | Starkville, MS | $386K |
| Och Family Practice Ackerman | Ackerman, MS | $124K |
| Och Professional Services | Starkville, MS | $108K |
| Medcare Emergency Medical Services, INC. | Camden, AL | $104K |
| Och Family Health Clinic | Starkville, MS | $29K |
| Och Medical Associates | Starkville, MS | $23K |
| Och General Surgery Associates | Starkville, MS | $6K |
| Jackson & Bigelow MD PC | Midland, MI | $884.56 |
| James Andrew Jackson, DDS, PLLC | Olive Branch, MS | $168.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.