Physician
Tahlequah Medical Group LLC
Tahlequah Medical Group LLC was paid $1.12M by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoTAHLEQUAH MEDICAL GROUP LLC
TAHLEQUAH, OK 74464
TAHLEQUAH, OK 74464
33aNPI1881960771assigned 03/26/2012
33bProvider typeInternal Medicine Physician
28Total paid$1.12M
24GClaims21,547
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Oklahoma
Rank by total paid#11 of 108
Median peer was paid$75K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2018 | 7,039 | $297K | |
| 2019 | 3,742 | $149K | |
| 2020 | 1,121 | $63K | |
| 2021 | 1,565 | $103K | |
| 2022 | 3,038 | $196K | |
| 2023 | 3,183 | $198K | |
| 2024incomplete | 1,859 | $114K |
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 | 29% | 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 | 27% | 4,645 | 4,641 | $307K |
| 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 | 13% | 1,620 | 1,605 | $140K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 5.3% | 1,214 | 1,212 | $59K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.2% | 1,407 | 1,370 | $59K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 557 | 557 | $46K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.6% | 649 | 649 | $40K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.6% | 1,121 | 1,110 | $29K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.1% | 205 | 205 | $24K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 1,068 | 1,058 | $14K |
| 95886 | 1.1% | 189 | 186 | $12K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 137 | 137 | $7K |
20 more codes
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 75 | $6K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 26 | $6K |
| 93016 | <1% | 333 | $6K | |
| 95909 | <1% | 67 | $4K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 71 | $4K |
| 99223 | Prolong inpt eval add15 m | <1% | 25 | $3K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 526 | $3K |
| 90966 | <1% | 39 | $3K | |
| 93018 | <1% | 265 | $3K | |
| 95911 | <1% | 29 | $2K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 27 | $2K |
| 90961 | <1% | 54 | $2K | |
| 87807 | <1% | 190 | $2K | |
| 90962 | <1% | 43 | $2K | |
| 99152 | <1% | 263 | $2K | |
| 43235 | <1% | 13 | $946.85 | |
| 93000 | <1% | 18 | $195.41 | |
| 92567 | <1% | 13 | $155.61 | |
| 94060 | <1% | 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) | <1% | 12 | $17.26 |
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 officialWARD, JULIE (CFO)
Parent organizationTAHLEQUAH HOSPITAL AUTHORITY
| Provider | Location | Paid |
|---|---|---|
| Northeastern Health System | Tahlequah, OK | $1.51M |
| Northeastern Health System | Fort Gibson, OK | $601K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.