Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

William J Herron D.O P.C.

William J Herron D.O P.C. was paid $41K by Medicaid between Jan 2018 and Sep 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.

33Billing provider infoWILLIAM J HERRON D.O P.C.
IDABEL, OK 74745
33aNPI1902111693assigned 08/18/2010
28Total paid$41K
24GClaims2,684
24DCodes billed3
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Family Medicine Physician providers in Oklahoma

Rank by total paid#225 of 351
Median peer was paid$153K
This provider vs. median0.3×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2018419$6K
2019408$6K
2020367$6K
2021380$6K
2022373$6K
2023357$6K
2024incomplete380$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 100% 2,611 2,443 $41K
96160 <1% 61 61 $55.42
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 12 12 $40.88

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 officialHERRON, WILLIAM (PRESIDENT)