Providers
All 31 in OK
ALEXANDER FREDRICK FRANK, M.D.
NPI 1164450573, individual, Oklahoma City, OK, Family Medicine
3
Evidence tier
charged in a public enforcement record
- Charged (indicted) per a Department of Justice release dated June 3, 2025, not adjudicated.
- Medicaid paid $108,124 in the last 12 observed months.
- Hours beyond a day in 1 month, but with up to 736 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- A second detector adds a weaker signal.
score 65 of 100, rank 1346, $108K at stake
Public list actions
Medicare revocation effective April 3, 2025, barred from re-enrolling until April 3, 2035
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion), Practitioner - Family Practice, OK
Medicare revocation effective April 3, 2025, barred from re-enrolling until April 3, 2035
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion), Practitioner - Family Practice, NY
OIG exclusion August 20, 2025 under section 1128a2
Physician (MD, DO), Family Practice, Edmond, OK
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2022 | More hours than a day holds at a conservative unit price | 12.5 | 36.9 | 24.6 | 36.3 | 611 | 1 | 99305 99308 99309 99349 | $43K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ALEXANDER FREDRICK FRANK, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | June 28, 2006, last updated October 22, 2024 |
| Practice location | 5721 NW 132ND ST, Oklahoma City, OK 73142-4437, 405-557-1200 |
| Specialties | Emergency Medicine (207P00000X, license 22319 OK) Family Medicine (207Q00000X, primary, license 22319 OK) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $844K | 67% | $33 | $21 (top 5% from $84) | 73rd percentile | |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | $113K | 9% | $63 | $30 (top 5% from $115) | 84th percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $61K | 5% | $24 | $14 (top 5% from $58) | 74th percentile | |
| 99336 | Domiciliary/rest home visit established level 3 (retired 2023) | $57K | 5% | $47 | $28 (top 5% from $90) | 80th percentile | |
| 95816 | Measurement of brain wave activity (eeg), awake and drowsy | $50K | 4% | $119 | $63 (top 5% from $334) | 64th percentile | |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | $43K | 3% | $32 | $22 (top 5% from $71) | 71st percentile | |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $17K | 1% | $19 | $5.69 (top 5% from $25) | 94th percentile | |
| 99335 | Domiciliary/rest home visit established level 2 (retired 2023) | $10K | 1% | $39 | $19 (top 5% from $69) | 86th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,344 | 205 | $97K | $109 | $99 | 1.1x | 2.0x (90th percentile 3.3x) |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 762 | 199 | $59K | $133 | $119 | 1.1x | 2.0x (90th percentile 3.4x) |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 410 | 125 | $19K | $70 | $57 | 1.2x | 1.8x (90th percentile 2.9x) |
| 99497 | Advance care planning, first 30 minutes | 152 | 125 | $9K | $89 | $77 | 1.2x | 2.3x (90th percentile 4.9x) |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 201 | 59 | $6K | $42 | $38 | 1.1x | 2.1x (90th percentile 3.3x) |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 37 | 37 | $5K | $185 | $169 | 1.1x | 1.9x (90th percentile 3.1x) |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 137 | 115 | $5K | $60 | $43 | 1.4x | 1.9x (90th percentile 3.1x) |
| 99345 | Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes | 18 | 18 | $2K | $227 | $188 | 1.2x | 1.9x (90th percentile 3.1x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
31 providers in Oklahoma County, OK carry an indicator in the public record, with $993K at stake between them. The most common is part of a provider network, on 16 of them, followed by more hours than a day holds on 7. 5 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ADVANCED BEHAVIORAL SOLUTIONS, LLC Oklahoma City, OK, ranked 123 | $144K |
|
| 1 | KARUNESH SINGHAL Edmond, OK, ranked 208 | $37K |
|
| 1 | MMS IMAGING SERVICES LLC Oklahoma City, OK, ranked 241 | $21K |
|
| 1 | FRANKLIN NWOKE Oklahoma City, OK, ranked 315 | $6K |
|
| 1 | NATASHA ALLMON Oklahoma City, OK, ranked 535 | $0 |
|
| 3 | COORDINATED CARE HEALTH SOLUTIONS, LLC Oklahoma City, OK, ranked 1354 | $103K |
|
| 3 | JUDY DENNIS Oklahoma City, OK, ranked 1447 | $38K |
|
| 3 | CWM HOSPICE CARE 2, LLC Oklahoma City, OK, ranked 2041 | $0 |
|
Recent enforcement in OK
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedJun 24, 2026
NDOK Announces Charges Related to the 2026 National Health Care Fraud Takedown
Bowles, operator of three pharmacies, allegedly submitted false claims for reimbursement for COVID-19 tests to Medicare and Medicaid, and a civil forfeiture complaint alleged Dameion Ray improperly used approximately $300,000 of a $600,000 Child Care Desert Grant to purchase real property.
DOJIndictedJun 23, 2026
Western District of Oklahoma Cases Filed as Part of National Health Care Fraud Takedown
Two defendants operating a durable medical equipment company were indicted for submitting fraudulent TRICARE claims for more than 650,000 in-person CPAP-related services they did not provide, and a speech-language pathologist was charged in a civil complaint with submitting more than $2.5 million in false claims to Medicare, Oklahoma Medicaid, and TRICARE for services not rendered or not medically necessary.
DOJSentencedMay 1, 2026
Oklahoma City Woman Sentenced to Federal Prison for $1.1 Million Health Care Fraud Scheme
Allmon submitted thousands of false and fraudulent claims to Blue Cross Blue Shield for behavioral health counseling sessions purportedly provided to family members, including claims of treating beneficiaries for more than 24 hours in a single day.
DOJCivil settlementJan 22, 2026
Traditions Health Agrees to Pay $34M to Resolve False Claims Act Liability Relating to Home Health Services Following Self Disclosure
Traditions submitted claims to Medicare for home health services that were not medically necessary from its McAlester, Oklahoma location and paid remuneration to physician-medical directors in Oklahoma and Texas who referred Medicare beneficiaries to it for home health services.
DOJSentencedOct 14, 2025
Compounding Pharmacy Owner Sent Back to Prison
Compounding pharmacy owner previously convicted of conspiracy to offer and pay health care kickbacks was sentenced for violating supervised release by failing to make restitution payments and concealing accounts, businesses, and asset transfers from Probation.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.