Clinic
Pushmataha Family Medical Center, INC
Pushmataha Family Medical Center, INC was paid $3.74M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoPUSHMATAHA FAMILY MEDICAL CENTER, INC
CLAYTON, OK 74536
CLAYTON, OK 74536
33aNPI1891882676assigned 10/05/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.74M
24GClaims29,986
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Oklahoma
Rank by total paid#33 of 115
Median peer was paid$1.90M
This provider vs. median2.0×
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 | 3,321 | $415K | |
| 2019 | 2,952 | $401K | |
| 2020 | 2,038 | $263K | |
| 2021 | 4,090 | $511K | |
| 2022 | 6,870 | $831K | |
| 2023 | 6,229 | $747K | |
| 2024incomplete | 4,486 | $570K |
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 | 94% | 18,119 | 16,604 | $3.50M |
| D7140 | Extraction, erupted tooth or exposed root | 3.8% | 2,111 | 917 | $142K |
| 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 | 1.1% | 1,387 | 1,171 | $42K |
| D0140 | Limited oral evaluation - problem focused | <1% | 724 | 701 | $21K |
| 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% | 3,116 | 2,912 | $15K |
| 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% | 2,102 | 1,953 | $9K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 204 | 201 | $3K |
| 99441 | <1% | 121 | 111 | $3K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 15 | 12 | $887.00 |
| D0330 | Panoramic radiographic image | <1% | 369 | 369 | $146.31 |
| 36415 | Collection of venous blood by venipuncture | <1% | 58 | 57 | $70.65 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 416 | 416 | $57.00 |
10 more codes
| 87428 | <1% | 180 | $29.39 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 312 | $15.24 |
| D0274 | Bitewings - four radiographic images | 0% | 290 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 176 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 97 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 29 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 67 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 25 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 38 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 30 | $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 officialBATTON, ANGELA (CEO)