Medicaid Provider Spending

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

NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC

NPI: 1942553946 · MUSKOGEE, OK 74403 · Federally Qualified Health Center (FQHC) · NPI assigned 10/16/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ROSENTHAL, SCOTT controls 15+ related entities in our dataset. Read more

$2.16M
Total Medicaid Paid
19,744
Total Claims
17,659
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROSENTHAL, SCOTT (CEO)
NPI Enumeration Date10/16/2012

Related Entities

Other providers sharing the same authorized official: ROSENTHAL, SCOTT

ProviderCityStateTotal Paid
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC TAHLEQUAH OK $16.61M
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC TAHLEQUAH OK $7.00M
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC TAHLEQUAH OK $5.79M
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC TAHLEQUAH OK $4.21M
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC HULBERT OK $3.30M
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC WESTVILLE OK $3.01M
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC. TAHLEQUAH OK $2.56M
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC. TAHLEQUAH OK $1.91M
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC. TAHLEQUAH OK $868K
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC PRYOR OK $729K
PAIN MANAGEMENT CENTERS OF AMERICA, LLC LANGHORNE PA $74K
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC. TAHLEQUAH OK $69K
ROSENTHAL CHIROPRACTIC, P.A. WILMINGTON DE $16K
DR. SCOTT ROSENTHAL, P.C. WYOMISSING PA $8K
NEOHEALTH OKLAHOMA COMMUNITY HEALTH CENTERS, INC. TAHLEQUAH OK $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,099 $119K
2019 862 $108K
2020 1,136 $126K
2021 2,568 $279K
2022 4,662 $489K
2023 5,209 $544K
2024 4,208 $498K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 10,878 9,449 $2.10M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,509 5,034 $36K
G0467 Federally 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 764 669 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,308 1,240 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 402 402 $1K
36415 Collection of venous blood by venipuncture 380 373 $537.95
83036 Hemoglobin; glycosylated (A1C) 185 185 $11.80
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 25 25 $2.06
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 180 172 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 71 70 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12 12 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 18 16 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $0.00