Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

AHS PRYOR HOSPITAL, LLC

NPI: 1740787928 · PRYOR, OK 74361 · Clinic/Center · NPI assigned 04/12/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PETROVICH, STEPHEN controls 20+ related entities in our dataset. Read more

$1.04M
Total Medicaid Paid
6,826
Total Claims
6,442
Beneficiaries
18
Codes Billed
2018-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPETROVICH, STEPHEN (EVP)
NPI Enumeration Date04/12/2018

Related Entities

Other providers sharing the same authorized official: PETROVICH, STEPHEN

ProviderCityStateTotal Paid
LOVELACE HEALTH SYSTEM, LLC ALBUQUERQUE NM $57.71M
LOVELACE HEALTH SYSTEM LLC ALBUQUERQUE NM $45.27M
SOUTHWEST MEDICAL ASSOCIATES, LLC ALBUQUERQUE NM $41.40M
LOVELACE HEALTH SYSTEM, LLC ALBUQUERQUE NM $31.24M
LOVELACE HEALTH SYSTEM LLC ROSWELL NM $20.13M
JACKSONVILLE HOSPITAL LLC JACKSONVILLE TX $9.41M
HENDERSON HOSPITAL, LLC HENDERSON TX $8.52M
ATHENS HOSPITAL, LLC ATHENS TX $8.32M
ETMC PHYSICIAN GROUP INC. TYLER TX $8.03M
TYLER REGIONAL HOSPITAL LLC TYLER TX $7.94M
LOVELACE UNM REHABILITATION HOSPITAL LLC ALBUQUERQUE NM $6.30M
POCATELLO HOSPITAL LLC POCATELLO ID $6.11M
JACKSONVILLE HOSPITAL LLC JACKSONVILLE TX $5.93M
AHS PRYOR HOSPITAL, LLC PRYOR OK $5.61M
BSA HOSPITAL LLC AMARILLO TX $4.96M
PITTSBURG HOSPITAL LLC PITTSBURG TX $4.83M
AHS CLAREMORE REGIONAL HOSPITAL, LLC. CLAREMORE OK $4.81M
AHS HENRYETTA HOSPITAL LLC HENRYETTA OK $4.27M
PITTSBURG HOSPITAL LLC PITTSBURG TX $3.98M
TOPEKA HOSPITAL, LLC TOPEKA KS $3.94M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 376 $15K
2019 312 $19K
2021 95 $16K
2022 2,263 $396K
2023 2,049 $376K
2024 1,731 $223K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,381 3,188 $563K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,359 2,182 $410K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 256 256 $53K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 52 52 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 15 15 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 27 27 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 80 80 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 17 16 $462.66
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 56 56 $180.92
87400 82 81 $25.14
3078F 115 110 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 28 28 $0.00
81003 13 13 $0.00
3008F 168 165 $0.00
3074F 134 130 $0.00
90686 19 19 $0.00
87428 12 12 $0.00
87807 12 12 $0.00