Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Ahs Southcrest Hospital, LLC.

Ahs Southcrest Hospital, LLC. was paid $3.66M by Medicaid between Jan 2018 and Nov 2024, across 52 billing codes. Its largest line is 99285, emergency room visit (most serious) — 44% of everything it billed.

33Billing provider infoAHS SOUTHCREST HOSPITAL, LLC.
TULSA, OK 74133
33aNPI1750661534assigned 08/24/2011
28Total paid$3.66M
24GClaims43,350
24DCodes billed52
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other General Acute Care Hospital providers in Oklahoma

Rank by total paid#38 of 75
Median peer was paid$3.66M
This provider vs. median1.0×

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 PETROVICH, STEPHEN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20183,707$344K
20193,690$352K
20202,704$211K
20215,487$479K
202211,090$879K
202311,984$1.00M
2024incomplete4,688$390K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 44% 4,937 4,843 $1.60M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 28% 4,315 4,259 $1.03M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7.2% 2,147 2,104 $263K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 7.1% 1,660 1,632 $261K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2.6% 891 627 $95K
96375 Therapeutic injection; each additional sequential IV push 1.6% 1,290 1,239 $60K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1.5% 116 116 $55K
42820 Tonsillectomy and adenoidectomy; younger than age 12 1.4% 12 12 $52K
80053 Comprehensive metabolic panel 1.1% 4,476 4,349 $39K
36415 Collection of venous blood by venipuncture 1.1% 6,454 5,994 $39K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 5,496 5,310 $35K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 126 124 $20K
40 more codes
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 2,072 $16K
71045 Radiologic examination, chest; single view <1% 1,112 $15K
62323 <1% 50 $14K
96361 Intravenous infusion, hydration; each additional hour <1% 179 $10K
87428 <1% 250 $7K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r <1% 85 $7K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 1,111 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 272 $5K
83690 <1% 643 $4K
81001 <1% 1,344 $3K
87086 Culture, bacterial; quantitative colony count, urine <1% 529 $3K
76830 Ultrasound, transvaginal <1% 55 $3K
81025 <1% 473 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 16 $1K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 13 $1K
84484 <1% 90 $1K
97597 <1% 79 $783.24
A6196 Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing <1% 87 $773.86
70450 Computed tomography, head or brain; without contrast material <1% 16 $612.55
86850 <1% 43 $356.29
80048 Basic metabolic panel (calcium, ionized) <1% 51 $271.92
A6197 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing <1% 14 $256.84
84703 <1% 27 $202.28
83735 <1% 39 $200.76
94060 <1% 13 $146.59
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 12 $145.60
86901 <1% 43 $109.06
86900 <1% 30 $74.48
87081 <1% 12 $74.03
81003 <1% 25 $54.18
J3010 Injection, fentanyl citrate, 0.1 mg <1% 47 $34.56
J7030 Infusion, normal saline solution , 1000 cc <1% 1,229 $33.42
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 43 $13.44
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 229 $3.20
J7120 Ringers lactate infusion, up to 1000 cc 0% 604 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 26 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 334 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 41 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 80 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 12 $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 officialPETROVICH, STEPHEN (SVP, GENERAL COUNSEL)
Same official

Other billing entities under PETROVICH, STEPHEN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.