Physician
Midwest City Hma Physician Management, LLC
Midwest City Hma Physician Management, LLC was paid $2.41M by Medicaid between Jan 2018 and Mar 2021, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoMIDWEST CITY HMA PHYSICIAN MANAGEMENT, LLC
MIDWEST CITY, OK 73110
MIDWEST CITY, OK 73110
33aNPI1952469439assigned 12/05/2006
33bProvider typeThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
28Total paid$2.41M
24GClaims51,794
24DCodes billed45
24AFirst – last monthJan 2018 – Mar 2021
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GINGRAS, MICHAEL controls 12+ related entities in our dataset. Read more
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 | 20,660 | $894K | |
| 2019 | 16,203 | $753K | |
| 2020 | 12,820 | $653K | |
| 2021 | 2,111 | $109K |
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 | 44% | 19,366 | 18,156 | $1.05M |
| 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 | 22% | 7,642 | 7,294 | $524K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 6,482 | 1,691 | $273K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.3% | 985 | 963 | $80K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.8% | 822 | 822 | $69K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 3,392 | 3,299 | $48K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.9% | 1,234 | 1,230 | $46K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 1.9% | 27 | 27 | $45K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.7% | 776 | 767 | $41K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 2,245 | 2,233 | $39K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 832 | 830 | $29K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 1,094 | 1,075 | $26K |
33 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 207 | $22K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 143 | $13K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 146 | $13K |
| 59425 | <1% | 30 | $13K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 121 | $11K |
| 99221 | <1% | 119 | $9K | |
| 93458 | <1% | 81 | $9K | |
| 99223 | Prolong inpt eval add15 m | <1% | 51 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 75 | $8K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 102 | $6K |
| 81025 | <1% | 676 | $5K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 130 | $4K |
| 92928 | <1% | 13 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,146 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 88 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 152 | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 302 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 226 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | $1K |
| 99152 | <1% | 144 | $840.50 | |
| 20610 | <1% | 25 | $626.72 | |
| 93000 | <1% | 53 | $601.45 | |
| 80305 | <1% | 38 | $416.08 | |
| 87807 | <1% | 31 | $360.05 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 28 | $253.44 |
| 90688 | <1% | 13 | $214.08 | |
| 90686 | <1% | 228 | $204.05 | |
| 96160 | <1% | 2,405 | $173.72 | |
| 93018 | <1% | 12 | $111.67 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 39 | $71.03 |
| 36416 | <1% | 18 | $46.16 | |
| 90670 | 0% | 13 | $0.00 | |
| 90734 | 0% | 12 | $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 officialGINGRAS, MICHAEL (VICE PRESIDENT)
Parent organizationHEALTH MANAGEMENT ASSOCIATES, INC
| Provider | Location | Paid |
|---|---|---|
| Durant Hma Physician Management, LLC | Durant, OK | $6.90M |
| Tullahoma Hma Physician Management, LLC | Tullahoma, TN | $2.25M |
| Chester Medical Group, LLC | Chester, SC | $960K |
| Lebanon Hma Physician Management LLC | Lebanon, TN | $190K |
| Williamson Hma Physician Management LLC | Williamson, WV | $174K |
| Kennett Hma Physician Management, LLC | Kennett, MO | $32K |
| Starke Hma Medical Group LLC | Starke, FL | $6K |
| Live Oak Hma Medical Group, LLC | Live Oak, FL | $3K |
| FT Smith Hma PBC Management, LLC | Fort Smith, AR | $2K |
| FT Smith Hma PBC Management, LLC | Spiro, OK | $865.40 |
| Punta Gorda Hma Physician Management LLC | Punta Gorda, FL | $490.68 |
| Jamestown Hma Physician Management LLC | Jamestown, TN | $373.05 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.