Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OK › Madill › NPI 1780955898
Physician

Marshall County HMPN, LLC

Marshall County HMPN, LLC was paid $232K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.

33Billing provider infoMARSHALL COUNTY HMPN, LLC
MADILL, OK 73446
33aNPI1780955898assigned 01/20/2012
28Total paid$232K
24GClaims4,151
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in Oklahoma

Rank by total paid#147 of 351
Median peer was paid$153K
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 GINGRAS, MICHAEL controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
2018335$17K
2019551$29K
2020562$34K
2021198$12K
2022220$16K
2023854$65K
2024incomplete1,431$59K
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 46% 1,147 1,058 $106K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42% 1,664 1,552 $99K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6.2% 155 155 $14K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.9% 33 30 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.6% 258 253 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.2% 150 150 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 30 29 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 14 14 $440.02
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 12 12 $209.40
1126F 0% 114 109 $0.00
3008F 0% 175 161 $0.00
1036F 0% 95 86 $0.00
2 more codes
3074F 0% 138 $0.00
3078F 0% 166 $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 officialGINGRAS, MICHAEL (VICE PRESIDENT)
Parent organizationHEALTH MANAGEMENT ASSOCIATES, INC
Same official

Other billing entities under GINGRAS, MICHAEL

Full network →

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