Clinic
Northeastern Oklahoma Community Health Centers, INC
Northeastern Oklahoma Community Health Centers, INC was paid $3.01M by Medicaid between Aug 2018 and Nov 2024, across 16 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoNORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC
WESTVILLE, OK 74965
WESTVILLE, OK 74965
33aNPI1821390402assigned 12/02/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.01M
24GClaims34,463
24DCodes billed16
24AFirst – last monthAug 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Oklahoma
Rank by total paid#38 of 115
Median peer was paid$1.90M
This provider vs. median1.6×
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 ROSENTHAL, SCOTT controls 15+ 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 | 1,307 | $122K | |
| 2019 | 4,030 | $393K | |
| 2020 | 3,888 | $351K | |
| 2021 | 3,952 | $366K | |
| 2022 | 6,230 | $524K | |
| 2023 | 7,634 | $667K | |
| 2024incomplete | 7,422 | $587K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 98% | 15,374 | 13,056 | $2.94M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.2% | 1,063 | 838 | $35K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 10,741 | 9,322 | $28K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,051 | 1,014 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,472 | 2,387 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 382 | 361 | $984.11 |
| 87807 | <1% | 479 | 461 | $838.80 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,433 | 1,386 | $665.06 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 267 | 233 | $424.06 |
| 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 | <1% | 188 | 180 | $109.28 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 641 | 615 | $36.03 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 150 | 149 | $0.00 |
4 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 14 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 39 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 148 | $0.00 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 0% | 21 | $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 officialROSENTHAL, SCOTT (CEO)
| Provider | Location | Paid |
|---|---|---|
| Northeastern Oklahoma Community Health Centers INC | Tahlequah, OK | $16.61M |
| Northeastern Oklahoma Community Health Centers, INC | Tahlequah, OK | $7.00M |
| Northeastern Oklahoma Community Health Centers, INC | Tahlequah, OK | $5.79M |
| Northeastern Oklahoma Community Health Centers, INC | Tahlequah, OK | $4.21M |
| Northeastern Oklahoma Community Health Centers INC | Hulbert, OK | $3.30M |
| Northeastern Oklahoma Community Health Centers, INC. | Tahlequah, OK | $2.56M |
| Northeastern Oklahoma Community Health Centers, INC | Muskogee, OK | $2.16M |
| Northeastern Oklahoma Community Health Centers, INC. | Tahlequah, OK | $1.91M |
| Northeastern Oklahoma Community Health Centers, INC. | Tahlequah, OK | $868K |
| Northeastern Oklahoma Community Health Centers INC | Pryor, OK | $729K |
| Pain Management Centers of America, LLC | Langhorne, PA | $74K |
| Northeastern Oklahoma Community Health Centers, INC. | Tahlequah, OK | $69K |
| Rosenthal Chiropractic, P.A. | Wilmington, DE | $16K |
| DR. Scott Rosenthal, P.C. | Wyomissing, PA | $8K |
| Neohealth Oklahoma Community Health Centers, INC. | Tahlequah, OK | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.