FRANKLIN C. NWOKE, M.D.
NPI 1356652515, individual, Oklahoma City, OK, Radiology, Diagnostic Radiology
- Listed on the IN Medicaid exclusion list and the MD Medicaid exclusion list since May 9, 2019.
- Medicaid still paid claims in 26 later months, $5,888 in total.
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| MD Medicaid exclusion list state list extracted from https://health.maryland.gov/mmcp/provider/documents/sanctioned-list/state of md sanctioned providers.xlsx (pandas claude colmap) | Exact NPI, name verified | May 9, 2019 | still open | 26 | Jun 2019 | Dec 2023 | $6K | $2K |
| IN Medicaid exclusion list state list extracted from https://www.in.gov/fssa/ompp/files/ompp terminations.xlsx (pandas claude colmap) | Exact NPI, name verified | Jul 30, 2019 | still open | 25 | Aug 2019 | Dec 2023 | $6K | $4K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | FRANKLIN C. NWOKE, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | June 23, 2010, last updated July 21, 2022 |
| Practice location | 1325 N WALKER AVE APT 428, Oklahoma City, OK 73103-6411, 952-595-1100 |
| Mailing address | 11995 SINGLETREE LN, STE 500, Eden Prairie, MN 55344-5347 |
| Specialties | Radiology, Diagnostic Radiology (2085R0202X, license D0082569 MD) Radiology, Diagnostic Radiology (2085R0202X, primary, license 32588 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 | |
|---|---|---|---|---|---|---|---|
| 71046 | X-ray of chest, 2 views | $4K | 39% | $7.51 | $8.15 (top 5% from $65) | 42nd percentile | |
| 71045 | X-ray of chest, 1 view | $3K | 33% | $7.85 | $5.95 (top 5% from $56) | 68th percentile | |
| 0361 | Medicaid service code | $2K | 21% | $168 | $5.07 (top 5% from $251) | too few months to rank | |
| 76705 | Limited ultrasound scan of abdomen | $433 | 4% | $18 | $22 (top 5% from $100) | too few months to rank | |
| 73030 | X-ray of shoulder, minimum of 2 views | $86 | 1% | $7.18 | $8.62 (top 5% from $49) | too few months to rank | |
| 73610 | X-ray of ankle, minimum of 3 views | $81 | 1% | $6.79 | $8.15 (top 5% from $51) | too few months to rank |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 49083 | Drainage of fluid from abdominal cavity using imaging guidance | 123 | 23 | $10K | $397 | $104 | 3.8x | 5.0x (90th percentile 17.3x) |
| 32555 | Aspiration of fluid from chest cavity using imaging guidance | 53 | 31 | $4K | $442 | $104 | 4.2x | 5.0x (90th percentile 21.0x) |
| 71250 | Ct scan of chest without contrast | 82 | 80 | $3K | $213 | $51 | 4.2x | 4.7x (90th percentile 11.9x) |
| 36558 | Insertion of tunneled central venous tube for infusion (5 years or older) | 15 | 15 | $3K | $953 | $243 | 3.9x | 4.9x (90th percentile 17.0x) |
| 74177 | Ct scan of abdomen and pelvis with contrast | 43 | 40 | $3K | $334 | $86 | 3.9x | 4.4x (90th percentile 11.2x) |
| 74176 | Ct scan of abdomen and pelvis without contrast | 44 | 43 | $2K | $318 | $82 | 3.9x | 4.4x (90th percentile 12.0x) |
| 71271 | Low dose ct scan of chest for lung cancer screening | 45 | 45 | $2K | $187 | $51 | 3.7x | 3.8x (90th percentile 8.0x) |
| 77012 | Review by radiologist of ct guidance for needle placement | 23 | 23 | $1K | $269 | $68 | 3.9x | 3.6x (90th percentile 11.4x) |
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 $1.1M 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 8. 4 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 | NATASHA ALLMON Oklahoma City, OK, ranked 535 | $0 |
|
| 3 | ALEXANDER FRANK Oklahoma City, OK, ranked 1346 | $108K |
|
| 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.
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.