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

Caldwell Medical Group, PLLC

Caldwell Medical Group, PLLC was paid $353K by Medicaid between Oct 2021 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.

33Billing provider infoCALDWELL MEDICAL GROUP, PLLC
WAGONER, OK 74467
33aNPI1760700371assigned 05/06/2010
28Total paid$353K
24GClaims6,048
24DCodes billed10
24AFirst – last monthOct 2021 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in Oklahoma

Rank by total paid#24 of 108
Median peer was paid$75K
This provider vs. median4.7×

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

$0$10K$20K$30K2018201920202021202220232024
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
2021158$9K
20221,145$68K
20232,795$162K
2024incomplete1,950$113K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 80% 3,027 2,654 $281K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7.5% 501 454 $26K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.9% 351 337 $24K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.6% 884 842 $6K
99238 Hospital discharge day management, 30 minutes or less 1.3% 73 72 $5K
80305 1.0% 336 288 $4K
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% 29 29 $3K
96127 <1% 819 777 $3K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 13 12 $778.75
36415 Collection of venous blood by venipuncture <1% 15 15 $93.75

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 officialCALDWELL, KAMMIE (PHYSICIAN / OWNER)