Crossway Medical Clinic W Memorial PLLC

Crossway Medical Clinic W Memorial PLLC was paid $271K by Medicaid between Jan 2018 and Mar 2020, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoCROSSWAY MEDICAL CLINIC W MEMORIAL PLLC
OKLAHOMA CITY, OK 73114

33aNPI1659780526assigned 08/05/2014

33bProvider typeInternal Medicine Physician

28Total paid$271K

24GClaims4,620

24DCodes billed25

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Internal Medicine Physician providers in Oklahoma

Rank by total paid#27 of 108

Median peer was paid$75K

This provider vs. median3.6×

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	1,071	$71K
2019	2,830	$154K
2020	719	$46K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29%	1,270	1,164	$78K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	26%	822	775	$71K
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	13%	389	361	$34K
99460		9.2%	290	290	$25K
54160		6.7%	141	141	$18K
99239	Hospital discharge day management, more than 30 minutes	3.9%	111	111	$11K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.5%	526	518	$9K
90472	Immunization administration, each additional vaccine (list separately)	2.7%	257	257	$7K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	1.0%	33	32	$3K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	44	15	$3K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	74	28	$2K
99223	Prolong inpt eval add15 m	<1%	19	19	$2K

13 more codes

90474		<1%	69	$1K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	13	$1K
99462		<1%	33	$1K
99203	Doctor's office visit, new patient (routine)	<1%	13	$1K
99238	Hospital discharge day management, 30 minutes or less	<1%	23	$892.51
87807		<1%	45	$529.76
90670		<1%	112	$200.95
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	13	$190.94
36415	Collection of venous blood by venipuncture	<1%	62	$138.65
90723		<1%	110	$135.85
90680		<1%	68	$68.21
90686		<1%	29	$17.12
90647		0%	54	$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 officialSWIM, DOUG (CEO)