Integris Health Edmond, INC
Integris Health Edmond, INC was paid $4.07M by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 99283, emergency room visit (moderate) — 52% of everything it billed.
EDMOND, OK 73034
Next to other General Acute Care Hospital providers in Oklahoma
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 | 3,248 | $340K | |
| 2019 | 3,427 | $385K | |
| 2020 | 2,097 | $239K | |
| 2021 | 5,835 | $603K | |
| 2022 | 10,876 | $998K | |
| 2023 | 11,832 | $1.14M | |
| 2024incomplete | 3,521 | $364K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 52% | 12,976 | 12,880 | $2.10M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 24% | 4,047 | 4,003 | $994K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 13% | 1,506 | 1,498 | $534K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 5.5% | 1,606 | 1,585 | $222K |
| 36415 | Collection of venous blood by venipuncture | 1.5% | 6,466 | 6,281 | $59K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 724 | 710 | $29K |
| 80053 | Comprehensive metabolic panel | <1% | 1,546 | 1,491 | $13K |
| 85027 | <1% | 2,173 | 2,147 | $11K | |
| 71045 | Radiologic examination, chest; single view | <1% | 823 | 815 | $10K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,570 | 1,506 | $10K |
| 87400 | <1% | 390 | 390 | $9K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 182 | 181 | $8K |
24 more codes
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 109 | $7K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,248 | $7K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 79 | $6K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 803 | $5K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 113 | $5K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 31 | $4K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 27 | $4K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 1,408 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 33 | $3K |
| 81001 | <1% | 1,099 | $3K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 12 | $2K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 15 | $2K |
| 87430 | <1% | 140 | $2K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 14 | $2K |
| 81003 | <1% | 933 | $2K | |
| 81025 | <1% | 251 | $2K | |
| 83690 | <1% | 212 | $1K | |
| 84703 | <1% | 134 | $802.80 | |
| 87070 | <1% | 101 | $737.47 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 12 | $172.51 |
| 84484 | <1% | 16 | $166.35 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 12 | $78.98 |
| J2360 | Injection, orphenadrine citrate, up to 60 mg | 0% | 12 | $0.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 13 | $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 |
|---|---|---|
| Integris Baptist Medical Center INC | Oklahoma City, OK | $30.65M |
| Integris Ambulatory Care Corporation | Oklahoma City, OK | $27.57M |
| Integris Baptist Medical Center INC | Oklahoma City, OK | $2.45M |
| Zuhdi Transplant Physicians | Oklahoma City, OK | $255K |
| Integris Prohealth INC | Oklahoma City, OK | $197K |
| Integris Ambulatory Care Corporation | Enid, OK | $173K |
| Integris Health Allset Urgent Care LLC | Edmond, OK | $104K |
| Integris Prohealth INC | Oklahoma City, OK | $85K |
| Integris Prohealth INC | Enid, OK | $15K |
| Integris Prohealth INC | Oklahoma City, OK | $11K |
| Integris Ambulatory Care Corporation | Bethany, OK | $738.55 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.