Supplier
Optimum Primary Care PLLC
Optimum Primary Care PLLC was paid $149K by Medicaid between Sep 2021 and Nov 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoOPTIMUM PRIMARY CARE PLLC
EDMOND, OK 73013
EDMOND, OK 73013
33aNPI1760030399assigned 08/27/2019
33bProvider typeNon-Pharmacy Dispensing Site
28Total paid$149K
24GClaims1,658
24DCodes billed7
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers
Next to other Non-Pharmacy Dispensing Site providers in Oklahoma
Rank by total paid#4 of 5
Median peer was paid$230K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2021 | 152 | $16K | |
| 2022 | 571 | $53K | |
| 2023 | 408 | $36K | |
| 2024incomplete | 527 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 710 | 651 | $73K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 667 | 618 | $51K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 11% | 123 | 102 | $17K |
| 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 | 2.7% | 28 | 28 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 28 | 28 | $2K |
| 99441 | <1% | 18 | 18 | $877.42 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 84 | 83 | $571.05 |
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 officialSANAULLAH, MUHAMMAD (CEO)
| Provider | Location | Paid |
|---|---|---|
| Midwest Hospitalist Group PLLC | Midwest City, OK | $1.77M |
| Optimum Care Hospitalist Group PLLC | Oklahoma City, OK | $257K |
| Optimum Post Acute Care PLLC | Edmond, OK | $56K |
| Optimum Complete Care, PLLC | Oklahoma City, OK | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.