Clinic
Northeastern Oklahoma Community Health Centers INC
Northeastern Oklahoma Community Health Centers INC was paid $729K by Medicaid between Nov 2022 and Dec 2024, across 11 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoNORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC
PRYOR, OK 74361
PRYOR, OK 74361
33aNPI1669101184assigned 06/09/2022
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$729K
24GClaims7,100
24DCodes billed11
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Oklahoma
Rank by total paid#83 of 115
Median peer was paid$1.90M
This provider vs. median0.4×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ROSENTHAL, SCOTT controls 15+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2022 | 368 | $35K | |
| 2023 | 2,970 | $301K | |
| 2024incomplete | 3,762 | $393K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 96% | 3,504 | 3,078 | $697K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 1,405 | 1,267 | $20K |
| 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 | 1.2% | 928 | 861 | $9K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 311 | 306 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 475 | 453 | $1K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 15 | 12 | $526.45 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 359 | 349 | $294.40 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 42 | 42 | $197.84 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27 | 27 | $98.88 |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | 14 | $54.00 |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 0% | 19 | 19 | $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 officialROSENTHAL, SCOTT (CEO)
| Provider | Location | Paid |
|---|---|---|
| Northeastern Oklahoma Community Health Centers INC | Tahlequah, OK | $16.61M |
| Northeastern Oklahoma Community Health Centers, INC | Tahlequah, OK | $7.00M |
| Northeastern Oklahoma Community Health Centers, INC | Tahlequah, OK | $5.79M |
| Northeastern Oklahoma Community Health Centers, INC | Tahlequah, OK | $4.21M |
| Northeastern Oklahoma Community Health Centers INC | Hulbert, OK | $3.30M |
| Northeastern Oklahoma Community Health Centers, INC | Westville, OK | $3.01M |
| Northeastern Oklahoma Community Health Centers, INC. | Tahlequah, OK | $2.56M |
| Northeastern Oklahoma Community Health Centers, INC | Muskogee, OK | $2.16M |
| Northeastern Oklahoma Community Health Centers, INC. | Tahlequah, OK | $1.91M |
| Northeastern Oklahoma Community Health Centers, INC. | Tahlequah, OK | $868K |
| Pain Management Centers of America, LLC | Langhorne, PA | $74K |
| Northeastern Oklahoma Community Health Centers, INC. | Tahlequah, OK | $69K |
| Rosenthal Chiropractic, P.A. | Wilmington, DE | $16K |
| DR. Scott Rosenthal, P.C. | Wyomissing, PA | $8K |
| Neohealth Oklahoma Community Health Centers, INC. | Tahlequah, OK | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.