Cohesive Medical Clinic Carnegie

Cohesive Medical Clinic Carnegie was paid $26K by Medicaid between Jan 2019 and May 2020, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.

33Billing provider infoCOHESIVE MEDICAL CLINIC CARNEGIE
CARNEGIE, OK 73015

33aNPI1790278406assigned 06/08/2018

33bProvider typeFamily Medicine Physician

28Total paid$26K

24GClaims718

24DCodes billed5

24AFirst – last monthJan 2019 – May 2020

Compared with peers

Next to other Family Medicine Physician providers in Oklahoma

Rank by total paid#240 of 351

Median peer was paid$153K

This provider vs. median0.2×

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
2019	502	$15K
2020	216	$12K

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	78%	495	448	$20K
99307		11%	140	140	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	5.5%	15	15	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.7%	54	53	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	14	14	$213.31

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 officialBANDEH, JAMAL (DIRECTOR OF STRATEGIC INIATIATIVES)