Hospital
Ahs Pryor Hospital, LLC
Ahs Pryor Hospital, LLC was paid $5.61M by Medicaid between Jan 2018 and Nov 2024, across 47 billing codes. Its largest line is 99283, emergency room visit (moderate) — 33% of everything it billed.
33Billing provider infoAHS PRYOR HOSPITAL, LLC
PRYOR, OK 74361
PRYOR, OK 74361
33aNPI1780125005assigned 03/20/2017
33bProvider typeGeneral Acute Care Hospital
28Total paid$5.61M
24GClaims53,135
24DCodes billed47
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Acute Care Hospital providers in Oklahoma
Rank by total paid#28 of 75
Median peer was paid$3.66M
This provider vs. median1.5×
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
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 | 5,523 | $523K | |
| 2019 | 6,591 | $653K | |
| 2020 | 4,368 | $488K | |
| 2021 | 7,450 | $801K | |
| 2022 | 12,780 | $1.27M | |
| 2023 | 11,227 | $1.22M | |
| 2024incomplete | 5,196 | $656K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 33% | 11,129 | 10,991 | $1.87M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 28% | 6,347 | 6,268 | $1.55M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 25% | 4,333 | 4,276 | $1.43M |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 3.2% | 1,395 | 1,372 | $180K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 2.8% | 1,182 | 614 | $159K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 1,061 | 1,016 | $54K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 523 | 516 | $50K |
| 87428 | <1% | 1,222 | 1,219 | $41K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,821 | 5,570 | $40K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,452 | 5,301 | $36K |
| 80053 | Comprehensive metabolic panel | <1% | 3,976 | 3,870 | $36K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,073 | 1,036 | $29K |
35 more codes
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 145 | $24K |
| 71045 | Radiologic examination, chest; single view | <1% | 1,522 | $17K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 142 | $10K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 219 | $10K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 193 | $9K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 159 | $7K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,243 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 361 | $5K |
| 87400 | <1% | 200 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 68 | $4K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 96 | $4K |
| 81025 | <1% | 457 | $4K | |
| 84484 | <1% | 307 | $3K | |
| 83690 | <1% | 548 | $3K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 51 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 190 | $3K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 37 | $2K |
| 97597 | <1% | 253 | $2K | |
| 81003 | <1% | 872 | $2K | |
| 87081 | <1% | 243 | $1K | |
| 87807 | <1% | 106 | $1K | |
| 81001 | <1% | 382 | $1K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 105 | $728.95 |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 157 | $562.28 |
| 83880 | <1% | 14 | $482.44 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 26 | $358.56 |
| 80061 | Lipid panel | <1% | 24 | $303.71 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 39 | $274.61 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 802 | $165.28 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 26 | $24.32 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 50 | $2.16 |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 338 | $0.78 |
| J0690 | Injection, cefazolin sodium, 500 mg | 0% | 12 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 19 | $0.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 215 | $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 (EVP)
Parent organizationARDENTH HEALTH PARTNERS LLC
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.