JOHN TIMOTHY KRUEGER, M.D.
NPI 1285600262, individual, Ada, OK, Family Medicine
- Hours beyond a day in 4 months, but with up to 876 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99212 ($566 per patient-month) sit in the top 5% of every provider billing that code.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Nov 2020 | More hours than a day holds at a conservative unit price | 1.9 | 38.5 | 25.7 | 36.6 | 318 | 1 | 99212 | $164K |
| Aug 2021 | More hours than a day holds at a conservative unit price | 2.0 | 41.4 | 27.6 | 38.9 | 336 | 1 | 99212 | $187K |
| Sep 2021 | More hours than a day holds at a conservative unit price | 2.3 | 48.6 | 32.4 | 44.2 | 368 | 1 | 99212 | $212K |
| Jan 2022 | More hours than a day holds at a conservative unit price | 5.3 | 127.3 | 84.9 | 125.3 | 876 | 1 | 99212 | $611K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JOHN TIMOTHY KRUEGER, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | February 28, 2006, last updated July 10, 2024 |
| Practice location | 1921 STONECIPHER DR, Ada, OK 74820-3439, 580-436-3980 |
| Mailing address | 1925 WARRIOR WAY, Ada, OK 74820-3491 |
| Specialties | Family Medicine (207Q00000X, license E4605 AR) Family Medicine (207Q00000X, primary, license 25027 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $5.9M | 100% | $566 | $28 (top 5% from $147) | 99th percentile | |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | $13K | 0% | $112 | $44 (top 5% from $70) | too few months to rank | |
| T1015 | Medicaid service code | $5K | 0% | $392 | $182 (top 5% from $488) | too few months to rank | |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $3K | 0% | $95 | $16 (top 5% from $128) | too few months to rank |
In this area
4 providers in Pontotoc County, OK carry an indicator in the public record, with $7.8M at stake between them. The most common is more hours than a day holds, on 4 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | ROBERT MORTON Ada, OK, ranked 7532 | $3.3M |
|
| 4 | JOSHUA MAYO Ada, OK, ranked 7669 | $2.2M |
|
| 5 | DANIEL MOLINA Ada, OK, ranked 10023 | $1.6M |
|
| 5 | WAJIHA MAAN Ada, OK, ranked 10178 | $735K |
|
Recent enforcement in OK
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.