Clinic
Pawhuska Hospital INC
Pawhuska Hospital INC was paid $2.80M by Medicaid between May 2019 and Dec 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.
33Billing provider infoPAWHUSKA HOSPITAL INC
PAWHUSKA, OK 74056
PAWHUSKA, OK 74056
33aNPI1871092494assigned 02/09/2018
33bProvider typePrimary Care Clinic/Center
28Total paid$2.80M
24GClaims8,878
24DCodes billed5
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Oklahoma
Rank by total paid#3 of 86
Median peer was paid$175K
This provider vs. median16×
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 | 229 | $12K | |
| 2020 | 534 | $53K | |
| 2021 | 1,517 | $534K | |
| 2022 | 2,489 | $1.04M | |
| 2023 | 2,572 | $879K | |
| 2024incomplete | 1,537 | $277K |
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 | 95% | 8,470 | 7,472 | $2.66M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 159 | 158 | $60K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.1% | 132 | 132 | $30K |
| 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 | 1.0% | 76 | 71 | $29K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 41 | 41 | $15K |
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 officialQUIRAM, LOREN (DIRECTOR OF QUALITY MANAGEMENT)
Parent organizationPAWHUSKA HOSPITAL, INC.