Southwestern Medical Center, LLC
Southwestern Medical Center, LLC was paid $9.40M by Medicaid between Jan 2018 and Nov 2024, across 76 billing codes. Its largest line is 99283, emergency room visit (moderate) — 30% of everything it billed.
LAWTON, OK 73505
Next to other General Acute Care Hospital providers in Oklahoma
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 11,455 | $1.17M | |
| 2019 | 11,648 | $1.14M | |
| 2020 | 8,668 | $955K | |
| 2021 | 11,594 | $1.27M | |
| 2022 | 18,803 | $1.86M | |
| 2023 | 19,401 | $2.15M | |
| 2024incomplete | 7,142 | $862K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 30% | 17,410 | 17,203 | $2.86M |
| D9999 | Unspecified adjunctive procedure, by report | 26% | 2,755 | 2,753 | $2.48M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 23% | 8,409 | 8,296 | $2.12M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 8.5% | 2,145 | 2,117 | $800K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 2.7% | 1,863 | 1,833 | $255K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.0% | 1,462 | 1,442 | $97K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 448 | 245 | $89K |
| 80053 | Comprehensive metabolic panel | <1% | 7,521 | 7,377 | $76K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 820 | 812 | $63K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 100 | 57 | $54K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 8,009 | 7,852 | $53K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,091 | 1,084 | $50K |
64 more codes
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 880 | $47K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 886 | $44K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,195 | $30K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 898 | $29K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,877 | $25K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 287 | $20K |
| 71045 | Radiologic examination, chest; single view | <1% | 1,702 | $17K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 98 | $17K |
| 87081 | <1% | 2,911 | $16K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 188 | $15K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 284 | $15K |
| 81025 | <1% | 1,571 | $12K | |
| 81001 | <1% | 4,186 | $11K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,458 | $10K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 71 | $9K |
| 83690 | <1% | 1,451 | $8K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,365 | $8K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 463 | $8K |
| 87420 | <1% | 604 | $7K | |
| 86140 | <1% | 1,414 | $6K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 38 | $6K |
| 83605 | <1% | 495 | $5K | |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 168 | $4K |
| 83735 | <1% | 659 | $4K | |
| 97597 | <1% | 599 | $3K | |
| 82150 | <1% | 558 | $3K | |
| 84484 | <1% | 271 | $3K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 52 | $3K |
| 87400 | <1% | 205 | $2K | |
| 87430 | <1% | 167 | $2K | |
| 87040 | <1% | 189 | $2K | |
| 81003 | <1% | 892 | $2K | |
| 82553 | <1% | 173 | $2K | |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 12 | $1K |
| 80074 | <1% | 27 | $1K | |
| 82550 | <1% | 207 | $1K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 160 | $1K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 1,417 | $907.05 |
| 80076 | <1% | 84 | $657.18 | |
| 86704 | <1% | 38 | $450.90 | |
| 85730 | <1% | 82 | $429.30 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 28 | $425.04 |
| 83880 | <1% | 13 | $419.04 | |
| 82565 | <1% | 84 | $414.73 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 928 | $400.88 |
| 86592 | <1% | 101 | $315.40 | |
| 82803 | <1% | 14 | $301.47 | |
| 85610 | <1% | 82 | $287.97 | |
| 85027 | <1% | 41 | $218.50 | |
| 87077 | <1% | 25 | $184.88 | |
| 86900 | <1% | 49 | $162.31 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 12 | $149.40 |
| 86706 | <1% | 12 | $136.78 | |
| 85379 | <1% | 13 | $99.55 | |
| 85651 | <1% | 26 | $96.02 | |
| 86850 | <1% | 13 | $86.90 | |
| 86431 | <1% | 12 | $72.16 | |
| 86901 | <1% | 24 | $52.73 | |
| 82950 | <1% | 12 | $46.53 | |
| 87205 | <1% | 12 | $45.60 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 983 | $0.00 |
| J7050 | Infusion, normal saline solution, 250 cc | 0% | 12 | $0.00 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 2,746 | $0.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 154 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Logan General Hospital LLC | Logan, WV | $43.43M |
| Phc-Cleveland LLC | Cleveland, MS | $23.43M |
| Hartsville, LLC | Hartsville, SC | $18.42M |
| Logan Memorial Hospital LLC | Russellville, KY | $14.29M |
| Palestine Principal Healthcare Limited Partnership | Palestine, TX | $6.80M |
| Watertown Medical Center LLC | Watertown, WI | $6.31M |
| Amg - Livingston, LLC | Livingston, TN | $5.52M |
| Logan General Hospital LLC | Logan, WV | $4.91M |
| ST. Joseph Hospital LLC | Lewiston, ID | $4.67M |
| Riverton Memorial Hospital LLC | Riverton, WY | $4.65M |
| Livingston Regional Hospital LLC | Livingston, TN | $4.33M |
| Hartsville Medical Group LLC | Hartsville, SC | $4.16M |
| Mexia Principal Healthcare Limited Partnership | Mexia, TX | $2.19M |
| Palestine Principal Healthcare Limited Partnership | Palestine, TX | $1.27M |
| Texas Specialty Physicians | Palestine, TX | $1.26M |
| ST Joseph Hospital LLC | Lewiston, ID | $1.10M |
| Watertown Physician Practices LLC | Watertown, WI | $244K |
| Watertown Physician Practices LLC | Watertown, WI | $175K |
| Amg-Livingston LLC | Livingston, TN | $165K |
| Watertown Physician Practices LLC | Watertown, WI | $149K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.