Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TAHLEQUAH MEDICAL GROUP LLC

NPI: 1881960771 · TAHLEQUAH, OK 74464 · Internal Medicine Physician · NPI assigned 03/26/2012

$1.12M
Total Medicaid Paid
21,547
Total Claims
21,195
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWARD, JULIE (CFO)
Parent OrganizationTAHLEQUAH HOSPITAL AUTHORITY
NPI Enumeration Date03/26/2012

Related Entities

Other providers sharing the same authorized official: WARD, JULIE

ProviderCityStateTotal Paid
NORTHEASTERN HEALTH SYSTEM TAHLEQUAH OK $1.51M
NORTHEASTERN HEALTH SYSTEM FORT GIBSON OK $601K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,039 $297K
2019 3,742 $149K
2020 1,121 $63K
2021 1,565 $103K
2022 3,038 $196K
2023 3,183 $198K
2024 1,859 $114K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,633 6,452 $329K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 4,645 4,641 $307K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,620 1,605 $140K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,214 1,212 $59K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,407 1,370 $59K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 557 557 $46K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 649 649 $40K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,121 1,110 $29K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 205 205 $24K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,068 1,058 $14K
95886 189 186 $12K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 137 137 $7K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 75 75 $6K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 26 26 $6K
93016 333 331 $6K
95909 67 67 $4K
90792 Psychiatric diagnostic evaluation with medical services 71 71 $4K
99223 Prolong inpt eval add15 m 25 25 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 526 468 $3K
90966 39 39 $3K
93018 265 263 $3K
95911 29 29 $2K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 27 14 $2K
90961 54 54 $2K
87807 190 189 $2K
90962 43 43 $2K
99152 263 251 $2K
43235 13 13 $946.85
93000 18 17 $195.41
92567 13 13 $155.61
94060 13 13 $98.96
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 12 12 $17.26