Medicaid Provider Spending

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

NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC.

NPI: 1972052983 · TAHLEQUAH, OK 74464 · Federally Qualified Health Center (FQHC) · NPI assigned 10/03/2016

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

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

$2.56M
Total Medicaid Paid
25,087
Total Claims
22,351
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROSENTHAL, SCOTT (CEO)
NPI Enumeration Date10/03/2016

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 MUSKOGEE OK $2.16M
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 1,495 $149K
2019 2,160 $212K
2020 2,208 $225K
2021 3,767 $370K
2022 5,717 $563K
2023 5,473 $568K
2024 4,267 $469K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 13,304 11,685 $2.48M
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 1,504 1,299 $51K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,648 6,939 $23K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,391 2,195 $87.57
83036 Hemoglobin; glycosylated (A1C) 78 78 $3.08
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 12 $2.08
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 76 74 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 27 27 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15 15 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 19 15 $0.00