Physician
Crossroads Medical Management LLC
Crossroads Medical Management LLC was paid $1.11M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoCROSSROADS MEDICAL MANAGEMENT LLC
SHAWNEE, OK 74804
SHAWNEE, OK 74804
33aNPI1780011874assigned 10/03/2013
33bProvider typeFamily Medicine Physician
28Total paid$1.11M
24GClaims18,170
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Oklahoma
Rank by total paid#61 of 351
Median peer was paid$153K
This provider vs. median7.3×
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 | |
|---|---|---|---|
| 2018 | 1,552 | $66K | |
| 2019 | 2,801 | $156K | |
| 2020 | 2,385 | $133K | |
| 2021 | 2,477 | $162K | |
| 2022 | 3,904 | $257K | |
| 2023 | 3,184 | $214K | |
| 2024incomplete | 1,867 | $120K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 8,966 | 8,440 | $528K |
| 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 | 47% | 7,068 | 6,546 | $523K |
| 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 | 2.5% | 204 | 204 | $27K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 177 | 177 | $16K |
| 80305 | <1% | 753 | 719 | $8K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 893 | 857 | $3K |
| 87428 | <1% | 15 | 15 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 16 | 16 | $550.20 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 30 | 30 | $535.41 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 12 | 12 | $265.75 |
| 96127 | <1% | 23 | 23 | $91.08 | |
| 96160 | <1% | 13 | 13 | $2.39 |
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 officialKERR, RANDY (VP OF OPERATIONS)
| Provider | Location | Paid |
|---|---|---|
| Advance Physicians Group | Shawnee, OK | $7.01M |
| Graham Family Medicine PLLC | Sayre, OK | $428K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.