Providers
ROBERT OLIVER MORTON, MD
NPI 1336222504, individual, Ada, OK, Psychiatry & Neurology, Psychiatry
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 43 months, but with up to 1701 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 99232 ($211 per patient-month) sit in the top 5% of every provider billing that code.
score 56 of 100, rank 7532, $3.3M at stake
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 2018 | More hours than a day holds, even counting one unit per claim line | 40.4 | 39.9 | 26.6 | 35.8 | 1443 | 1 | 99212 99213 99214 99222 99223 99231 99232 99233 99239 99308 99309 | $111K |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 44.2 | 34.0 | 22.6 | 31.7 | 1356 | 1 | 99205 99212 99213 99214 99222 99223 99231 99232 99233 99239 99308 99309 | $82K |
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 40.9 | 26.6 | 17.7 | 25.0 | 1526 | 1 | 99212 99213 99214 99222 99223 99231 99232 99233 99239 99308 | $71K |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 37.7 | 21.6 | 14.4 | 20.6 | 1438 | 1 | 99205 99212 99213 99214 99222 99223 99231 99232 99233 99238 99239 99308 99309 | $56K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 41.4 | 24.8 | 16.5 | 22.3 | 1502 | 1 | 99212 99213 99214 99222 99223 99231 99232 99233 99238 99239 99308 | $61K |
| Jun 2018 | More hours than a day holds, even counting one unit per claim line | 43.3 | 27.2 | 18.1 | 25.9 | 1447 | 1 | 99212 99213 99214 99222 99223 99231 99232 99233 99238 99239 99308 | $62K |
| Jul 2018 | More hours than a day holds, even counting one unit per claim line | 41.3 | 23.7 | 15.8 | 22.3 | 1508 | 1 | 99205 99213 99214 99222 99223 99231 99232 99233 99238 99239 99308 99309 | $59K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 37.5 | 18.3 | 12.2 | 16.5 | 1474 | 1 | 99205 99213 99214 99222 99223 99231 99232 99233 99238 99239 99308 99309 | $51K |
| Sep 2018 | More hours than a day holds, even counting one unit per claim line | 36.2 | 16.0 | 10.7 | 16.0 | 1431 | 1 | 99205 99213 99214 99223 99231 99232 99233 99239 99308 | $46K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 37.0 | 16.0 | 10.7 | 14.4 | 1485 | 1 | 99205 99213 99214 99223 99231 99232 99233 99239 99308 99309 | $48K |
| Nov 2018 | More hours than a day holds, even counting one unit per claim line | 37.9 | 18.5 | 12.3 | 16.8 | 1465 | 1 | 99205 99213 99214 99223 99231 99232 99233 99239 99308 | $52K |
| Dec 2018 | More hours than a day holds, even counting one unit per claim line | 31.9 | 14.2 | 9.5 | 14.0 | 1280 | 1 | 99205 99213 99214 99223 99231 99232 99233 99239 99309 | $42K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 33.8 | 26.3 | 17.5 | 23.6 | 1437 | 1 | 99205 99213 99214 99223 99231 99232 99233 99239 99308 | $99K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 37.2 | 21.8 | 14.5 | 20.3 | 1473 | 1 | 99205 99213 99214 99223 99231 99232 99233 99239 99308 99309 | $77K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 33.6 | 17.4 | 11.6 | 17.1 | 1438 | 1 | 99205 99213 99214 99223 99231 99232 99233 99239 99308 99309 | $59K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 39.1 | 16.4 | 10.9 | 14.9 | 1524 | 1 | 99205 99213 99214 99223 99231 99232 99233 99238 99239 99308 99309 | $55K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 35.7 | 15.7 | 10.5 | 14.1 | 1495 | 1 | 99205 99213 99214 99223 99231 99232 99233 99238 99239 99308 99309 | $51K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 33.4 | 13.3 | 8.9 | 13.3 | 1299 | 1 | 99205 99213 99214 99223 99231 99232 99233 99239 99308 99309 | $42K |
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 36.1 | 13.2 | 8.8 | 11.8 | 1510 | 1 | 99205 99213 99214 99223 99231 99232 99233 99238 99239 99308 99309 | $47K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 41.3 | 13.4 | 8.9 | 12.5 | 1473 | 1 | 99205 99213 99214 99223 99231 99232 99233 99238 99239 99308 99309 | $46K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 35.2 | 13.7 | 9.1 | 13.1 | 1271 | 1 | 99205 99213 99214 99223 99231 99232 99233 99239 99308 99309 | $43K |
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 36.5 | 13.6 | 9.1 | 12.2 | 1402 | 1 | 99205 99213 99214 99223 99231 99232 99233 99238 99239 99308 | $48K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 38.0 | 15.7 | 10.5 | 14.9 | 1471 | 1 | 99205 99213 99214 99223 99231 99232 99233 99238 99239 99308 | $51K |
| Dec 2019 | More hours than a day holds, even counting one unit per claim line | 34.5 | 14.4 | 9.6 | 13.5 | 1324 | 1 | 99205 99213 99214 99223 99231 99232 99233 99239 99306 99308 99309 | $45K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 37.8 | 27.7 | 18.5 | 24.9 | 1458 | 1 | 99205 99213 99214 99223 99231 99232 99233 99239 99308 99309 | $103K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 37.8 | 18.8 | 12.5 | 18.2 | 1386 | 1 | 99205 99213 99214 99223 99231 99232 99233 99239 99308 99309 | $71K |
| Mar 2020 | More hours than a day holds, even counting one unit per claim line | 36.5 | 17.7 | 11.8 | 16.6 | 1344 | 1 | 99205 99213 99214 99223 99231 99232 99233 99239 99306 99308 99309 | $56K |
| Apr 2020 | More hours than a day holds, even counting one unit per claim line | 33.5 | 14.2 | 9.4 | 12.9 | 1490 | 1 | 99205 99213 99214 99223 99231 99232 99233 99239 99308 99309 | $51K |
| May 2020 | More hours than a day holds, even counting one unit per claim line | 35.5 | 15.4 | 10.3 | 15.2 | 1527 | 1 | 99205 99213 99214 99223 99232 99233 99239 99308 99309 99442 | $55K |
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 37.9 | 14.9 | 9.9 | 13.5 | 1527 | 1 | 99205 99213 99214 99222 99223 99231 99232 99233 99239 99308 99309 | $49K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 37.7 | 14.7 | 9.8 | 13.2 | 1472 | 1 | 99205 99213 99214 99223 99231 99232 99233 99239 99306 99308 | $52K |
| Aug 2020 | More hours than a day holds, even counting one unit per claim line | 38.4 | 15.3 | 10.2 | 15.1 | 1458 | 1 | 99205 99212 99213 99214 99223 99231 99232 99233 99239 99307 99308 99309 | $49K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 35.7 | 15.3 | 10.2 | 13.9 | 1427 | 1 | 99205 99212 99213 99214 99223 99231 99232 99233 99239 99307 99308 | $51K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 35.2 | 14.2 | 9.4 | 13.3 | 1257 | 1 | 99212 99213 99214 99223 99231 99232 99233 99239 | $46K |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 32.4 | 14.1 | 9.4 | 13.5 | 1396 | 1 | 99205 99212 99213 99214 99223 99231 99232 99233 99239 99307 99308 | $48K |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 27.0 | 10.5 | 7.0 | 9.4 | 1117 | 1 | 99212 99213 99214 99223 99231 99232 99233 99239 99307 99308 | $37K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 31.9 | 22.1 | 14.7 | 21.7 | 1331 | 1 | 99212 99213 99214 99222 99223 99231 99232 99233 99238 99239 99307 99308 | $95K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 29.5 | 18.8 | 12.6 | 17.6 | 1120 | 1 | 99212 99213 99214 99223 99231 99232 99233 99239 99307 | $73K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 31.4 | 20.7 | 13.8 | 18.8 | 917 | 1 | 99205 99212 99213 99214 99223 99231 99232 99233 99239 99308 | $46K |
| May 2021 | More hours than a day holds, even counting one unit per claim line | 40.8 | 22.3 | 14.9 | 22.0 | 1390 | 1 | 99205 99212 99213 99214 99223 99231 99232 99233 99239 99308 | $57K |
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 39.0 | 22.5 | 15.0 | 20.5 | 1411 | 1 | 99205 99212 99213 99214 99223 99231 99232 99233 99239 99307 99308 99309 | $56K |
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 40.3 | 23.7 | 15.8 | 22.3 | 1492 | 1 | 99205 99212 99213 99214 99223 99231 99232 99233 99239 99308 | $63K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 38.0 | 25.2 | 16.8 | 23.7 | 1531 | 1 | 99205 99212 99213 99214 99223 99231 99232 99233 99239 99307 99308 | $66K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 37.5 | 26.3 | 17.5 | 23.9 | 1288 | 1 | 99212 99213 99214 99223 99231 99232 99233 99239 | $63K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 35.1 | 26.7 | 17.8 | 26.3 | 1422 | 1 | 99205 99212 99213 99214 99223 99231 99232 99233 99239 99307 99308 | $67K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 39.0 | 29.4 | 19.6 | 26.7 | 1553 | 1 | 99205 99212 99213 99214 99223 99231 99232 99233 99239 99307 99308 | $71K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 35.9 | 25.9 | 17.3 | 23.3 | 1434 | 1 | 99205 99212 99213 99214 99223 99231 99232 99233 99239 99308 | $68K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 38.3 | 46.7 | 31.2 | 46.0 | 1535 | 1 | 99205 99212 99213 99214 99223 99231 99232 99233 99239 99308 | $141K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 36.5 | 36.2 | 24.2 | 33.8 | 1344 | 1 | 99205 99212 99213 99214 99223 99231 99232 99233 99239 | $97K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 38.6 | 36.1 | 24.0 | 32.4 | 1594 | 1 | 99205 99212 99213 99214 99223 99231 99232 99233 99239 99308 | $100K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 37.4 | 28.9 | 19.3 | 27.5 | 1557 | 1 | 99205 99212 99213 99214 99223 99231 99232 99233 99239 99308 | $79K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 37.3 | 31.6 | 21.0 | 29.6 | 1616 | 1 | 99205 99212 99213 99214 99222 99223 99231 99232 99233 99239 99308 | $84K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 37.5 | 25.1 | 16.7 | 22.8 | 1512 | 1 | 99205 99212 99213 99214 99222 99223 99231 99232 99233 99239 | $69K |
| Jul 2022 | More hours than a day holds, even counting one unit per claim line | 37.7 | 28.8 | 19.2 | 28.3 | 1473 | 1 | 99205 99212 99213 99214 99223 99231 99232 99233 99239 | $76K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 40.1 | 27.6 | 18.4 | 24.8 | 1606 | 1 | 99205 99212 99213 99223 99231 99232 99233 99239 99307 99308 | $74K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 39.0 | 27.2 | 18.1 | 24.7 | 1514 | 1 | 99205 99212 99213 99214 99222 99223 99231 99232 99233 99239 | $72K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 38.9 | 25.3 | 16.9 | 24.9 | 1496 | 1 | 99205 99212 99213 99214 99222 99223 99231 99232 99233 99238 99239 | $70K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 40.3 | 24.9 | 16.6 | 22.6 | 1454 | 1 | 99205 99212 99213 99223 99231 99232 99233 99238 99239 | $68K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 37.9 | 24.3 | 16.2 | 22.8 | 1500 | 1 | 99212 99213 99222 99223 99231 99232 99233 99238 99239 | $68K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 40.8 | 39.9 | 26.6 | 37.5 | 1612 | 1 | 99205 99212 99213 99214 99222 99223 99231 99232 99233 99238 99239 99308 | $131K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 39.7 | 33.7 | 22.5 | 31.5 | 1486 | 1 | 99205 99212 99213 99214 99223 99231 99232 99233 99239 | $101K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 40.5 | 31.4 | 21.0 | 28.2 | 1701 | 1 | 99205 99212 99213 99214 99223 99231 99232 99233 99239 | $97K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 32.0 | 23.6 | 15.7 | 23.6 | 1345 | 1 | 99205 99212 99213 99223 99231 99232 99233 99239 | $66K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 30.6 | 21.0 | 14.0 | 18.8 | 1300 | 1 | 99205 99212 99213 99223 99231 99232 99233 99239 | $64K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 39.0 | 25.5 | 17.0 | 23.2 | 1508 | 1 | 99205 99212 99213 99222 99223 99231 99232 99233 99239 | $73K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 37.1 | 25.8 | 17.2 | 25.4 | 1417 | 1 | 99205 99212 99213 99222 99223 99231 99232 99233 99239 99306 | $72K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 35.4 | 25.9 | 17.2 | 23.2 | 1539 | 1 | 99205 99212 99213 99214 99223 99231 99232 99233 99239 99308 | $75K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 34.5 | 20.3 | 13.6 | 19.4 | 1393 | 1 | 99212 99213 99223 99231 99232 99233 99239 | $62K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 38.2 | 27.1 | 18.1 | 25.5 | 1523 | 1 | 99205 99212 99213 99214 99223 99231 99232 99233 99239 99308 | $79K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 37.3 | 26.9 | 18.0 | 24.5 | 1451 | 1 | 99212 99213 99214 99223 99231 99232 99233 99239 | $74K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 33.0 | 26.9 | 17.9 | 26.5 | 1316 | 1 | 99212 99213 99214 99223 99231 99232 99233 99239 99308 | $72K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 33.6 | 36.3 | 24.2 | 32.6 | 1448 | 1 | 99212 99213 99222 99223 99231 99232 99233 99239 | $125K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 31.9 | 28.1 | 18.7 | 25.8 | 1268 | 1 | 99212 99213 99214 99223 99231 99232 99233 99239 | $88K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 37.2 | 34.7 | 23.1 | 34.2 | 1467 | 1 | 99205 99212 99213 99223 99231 99232 99233 99239 99308 | $101K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 30.7 | 29.4 | 19.6 | 26.7 | 1349 | 1 | 99212 99213 99223 99231 99232 99233 99239 99308 | $81K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 33.1 | 28.5 | 19.0 | 25.6 | 1397 | 1 | 99212 99213 99214 99223 99231 99232 99233 99239 | $83K |
| Jun 2024 | More hours than a day holds, even counting one unit per claim line | 32.8 | 26.0 | 17.3 | 26.0 | 1333 | 1 | 99212 99213 99214 99223 99231 99232 99233 99239 99308 | $73K |
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 33.3 | 28.1 | 18.7 | 25.2 | 1389 | 1 | 99212 99213 99214 99223 99231 99232 99233 99239 99308 | $79K |
| Aug 2024 | More hours than a day holds, even counting one unit per claim line | 33.4 | 24.8 | 16.6 | 23.3 | 1321 | 1 | 99212 99213 99223 99231 99232 99233 99239 99308 | $72K |
| Sep 2024 | More hours than a day holds, even counting one unit per claim line | 29.9 | 16.0 | 10.7 | 15.2 | 1329 | 1 | 99212 99213 99223 99231 99232 99233 99239 99308 | $54K |
| Oct 2024 | More hours than a day holds, even counting one unit per claim line | 25.7 | 13.8 | 9.2 | 12.4 | 1249 | 1 | 99212 99213 99223 99231 99232 99233 99239 | $51K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ROBERT OLIVER MORTON, MD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | October 23, 2006, last updated March 7, 2023 |
| Practice location | 1000 ROLLING HILLS LN, Ada, OK 74820-9415, 580-759-0022 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 10500 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 | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $3.1M | 54% | $37 | $44 (top 5% from $110) | 39th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $1.3M | 22% | $211 | $67 (top 5% from $174) | 97th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $328K | 6% | $57 | $60 (top 5% from $133) | 46th percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $309K | 5% | $65 | $96 (top 5% from $249) | 25th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $190K | 3% | $66 | $81 (top 5% from $170) | 34th percentile | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $176K | 3% | $143 | $128 (top 5% from $249) | 59th percentile | |
| 99239 | Hospital discharge day management, more than 30 minutes | $98K | 2% | $33 | $49 (top 5% from $101) | 21st percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $94K | 2% | $23 | $28 (top 5% from $147) | 39th 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 |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 7,997 | 346 | $424K | $80 | $68 | 1.2x | 2.6x (90th percentile 4.3x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 8,044 | 1,308 | $414K | $90 | $79 | 1.1x | 2.2x (90th percentile 3.8x) |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 1,004 | 301 | $75K | $105 | $96 | 1.1x | 2.6x (90th percentile 4.7x) |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 308 | 296 | $34K | $200 | $150 | 1.3x | 3.0x (90th percentile 5.6x) |
| 99239 | Hospital discharge day management, more than 30 minutes | 384 | 314 | $29K | $105 | $96 | 1.1x | 2.8x (90th percentile 5.6x) |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 674 | 247 | $21K | $55 | $49 | 1.1x | 2.2x (90th percentile 3.8x) |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 359 | 299 | $12K | $50 | $43 | 1.2x | 2.4x (90th percentile 4.0x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 103 | 88 | $8K | $125 | $111 | 1.1x | 2.3x (90th percentile 3.8x) |
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
4 providers in Pontotoc County, OK carry an indicator in the public record, with $6.9M at stake between them. The most common is more hours than a day holds, on 4 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | JOHN KRUEGER Ada, OK, ranked 7631 | $2.4M |
|
| 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.
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.