Broken Arrow Diagnostic Medicine, PLLC

Broken Arrow Diagnostic Medicine, PLLC was paid $327K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.

33Billing provider infoBROKEN ARROW DIAGNOSTIC MEDICINE, PLLC
BROKEN ARROW, OK 74014

33aNPI1710322672assigned 05/06/2013

33bProvider typeFamily Medicine Physician

28Total paid$327K

24GClaims4,199

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Oklahoma

Rank by total paid#134 of 351

Median peer was paid$153K

This provider vs. median2.1×

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	321	$18K
2019	397	$22K
2020	388	$20K
2021	435	$29K
2022	811	$70K
2023	1,189	$107K
2024incomplete	658	$61K

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	55%	2,575	2,450	$180K
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	39%	1,177	1,144	$126K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.6%	87	87	$9K
90460	Immunization administration through 18 years of age via any route, first or only component	2.4%	260	258	$8K
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	<1%	14	14	$2K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	12	12	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	19	18	$331.93
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	12	12	$235.92
90686		<1%	43	43	$33.27

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 officialCALLISON, JACOB (MANAGING MEMBER)