South Moore Medical Clinic,pc

South Moore Medical Clinic,pc was paid $120K by Medicaid between Jan 2018 and Dec 2018, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.

33Billing provider infoSOUTH MOORE MEDICAL CLINIC,PC
MOORE, OK 73170

33aNPI1972545218assigned 06/12/2006

33bProvider typeFamily Medicine Physician

28Total paid$120K

24GClaims2,116

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2018

Compared with peers

Next to other Family Medicine Physician providers in Oklahoma

Rank by total paid#190 of 351

Median peer was paid$153K

This provider vs. median0.8×

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

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	2,116	$120K

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	77%	1,580	1,278	$93K
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	12%	182	168	$14K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	5.2%	102	100	$6K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.7%	152	144	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.5%	18	18	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.4%	19	19	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.0%	14	14	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	23	23	$391.00
87807		<1%	13	12	$150.48
81000		<1%	13	12	$43.03

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 officialLAYNE, KEITH (PHYSICIAN)