DENNIS J CARTER, D.O.
NPI 1336102532, individual, Poteau, OK, Family Medicine
- Hours beyond a day in 4 months under one organization, which can be supervisory billing.
- Records needed.
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 | 6.1 | 49.1 | 32.7 | 48.3 | 215 | 1 | 99213 99214 99309 | $35K |
| Jan 2023 | More hours than a day holds at a conservative unit price | 5.5 | 52.7 | 35.1 | 49.5 | 201 | 1 | 99309 | $34K |
| Feb 2023 | More hours than a day holds at a conservative unit price | 5.3 | 41.3 | 27.5 | 38.6 | 190 | 1 | 99309 | $24K |
| Mar 2023 | More hours than a day holds at a conservative unit price | 5.2 | 38.8 | 25.9 | 34.9 | 214 | 1 | 99308 99309 | $26K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DENNIS J CARTER, D.O. |
| Type | Individual |
| Status | Active |
| NPI issued | April 10, 2006, last updated January 11, 2011 |
| Practice location | 1013 DEWEY AVE, Poteau, OK 74953-4409, 918-647-2929 |
| Mailing address | PO BOX 1055, Poteau, OK 74953-1055 |
| Specialties | Family Medicine (207Q00000X, primary, license 2689 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 | |
|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $619K | 75% | $68 | $21 (top 5% from $84) | 92nd percentile | |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $103K | 13% | $37 | $30 (top 5% from $134) | 59th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $50K | 6% | $47 | $60 (top 5% from $133) | 33rd percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $29K | 4% | $104 | $14 (top 5% from $58) | too few months to rank | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $8K | 1% | $156 | $44 (top 5% from $110) | too few months to rank | |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | $6K | 1% | $72 | $7.86 (top 5% from $34) | too few months to rank | |
| 99285 | Emergency department visit with high level of medical decision making | $3K | 0% | $124 | $100 (top 5% from $264) | too few months to rank | |
| 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 | $3K | 0% | $7.36 | $5.61 (top 5% from $18) | 64th percentile |
In this area
4 providers in Le Flore County, OK carry an indicator in the public record, with $15K at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | WELCOME BACK HOME CARE, INC. Pocola, OK, ranked 2330 | $0 |
|
| 3 | THE OAKS HEALTHCARE CENTER - POTEAU, LLC Poteau, OK, ranked 4883 | $0 |
|
| 3 | POCOLA NURSING CENTER LLC Pocola, OK, ranked 7231 | $0 |
|
| 5 | KATHY MARTIN Poteau, OK, ranked 11904 | $15K |
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.