Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidFamily Health Center Of Southern Oklahoma Inc
    Ask Trek AI about this page

    Family Health Center Of Southern Oklahoma Inc — Billing Profile & Reimbursement Data

    NPI 1598803942 · Tishomingo, OK · Federally Qualified Health Center (FQHC)

    Customize your policy alerts

    Sign up for Family Health Center Of Southern Oklahoma Inc — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Family Health Center Of Southern Oklahoma Inc is a federally qualified health center (fqhc) provider located in Tishomingo, Oklahoma. This profile covers 0 Medicare and 42 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationFamily Health Center Of Southern Oklahoma Inc
    Address610 E 24th St
    CityTishomingo
    StateOK
    ZIP73460
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedFebruary 1, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$10.6M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    42 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive51,550$190$9.9M
    G0467Federally 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…9,510$30$313.9K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)1,180$70$76.8K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…21,450$1$64.3K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…8,540$10$59.8K
    D2392Post 2 surface resin‑based composite500$90$46K
    D9999N/A210$210$45.6K
    D2391Resin‑based composite – one surface, posterior460$60$26.4K
    D0140Limited oral evaluation – problem focused720$30$21.7K
    99441N/A600$30$18.7K

    Showing 1–10 of 42

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Oklahoma median

    42 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive131407,150$220$4.4M
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…316530140$450$1.2M
    D9999N/A2440310$690$591.7K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1321,680820$90$307K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…561,750870$70$254.4K
    D2392Post 2 surface resin‑based composite170330530$100$162.1K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…635720120$150$94.5K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)60240280$70$91.8K
    D1120Prophylaxis–child107470730$30$77.5K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…525710140$100$74.6K

    Showing 1–10 of 42

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Family Health Center Of Southern Oklahoma Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family Health Center Of Southern Oklahoma IncOKFederally Qualified Health Center (FQHC)$0$3M
    Family Health Center Of Southern Oklahoma IncOKFederally Qualified Health Center (FQHC)$0$1.6M
    Larry BurnsOKPhysician Assistant$17.5K$0
    Bobby PriddyOKFamily Nurse Practitioner$13.5K$0
    Paul ReelOKFamily Medicine Physician$12.6K$0
    Wilson DavisOKInternal Medicine Physician$6.9K$0
    Heather WorkmanOKFamily Nurse Practitioner$5.4K$0
    Ralph FalconerOKPhysician Assistant$3.7K$0
    Relinda BlackOKFamily Nurse Practitioner$3.4K$0
    Stephanie JonesOKFamily Medicine Physician$1.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Family Health Center Of Southern Oklahoma Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sisterly Care Health Services LLC.OKHome Health Agency$0$48.4M
    Chickasaw Nation Division Of HealthOKPrimary Care Clinic/Center$0$18M
    Refuge Behavioral Health PLLCOKClinic/Center$0$5M
    Mercy Hospital Tishomingo, Inc.OKCritical Access Hospital$0$3.7M
    Victory Home Health, LLCOKHome Health Agency$0$3.5M
    Southern Oklahoma Treatment Services, Inc.OKMental Health Clinic/Center (Including Community Mental Health Center)$0$2.6M
    Pennington Creek LifehouseOKCase Management Agency$0$2.2M
    Southeastern Oklahoma Family Services, IncOKCommunity/Behavioral Health Agency$0$1.8M
    Johnston County Emergency Medical ServicesOKIntermediate Emergency Medical Technician$295.8K$758.6K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Oklahoma Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oklahoma Distribution
    Family Health Center Of Southern Oklahoma Inc — 2 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma