BRADFORD JAY STEPHENS, M.D.
NPI 1366444648, individual, Miami, OK, Specialist, NPI deactivated 2006-03-20
- Billed more hands-on hours than a day holds in 10 months, peaking at 181.9 hours per day across 3 billing organizations.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Apr 2020 | More hours than a day holds at a conservative unit price | 4.9 | 272.9 | 181.9 | 248.1 | 96 | 3 | 90834 99212 99309 | $82K |
| May 2020 | More hours than a day holds at a conservative unit price | 2.7 | 101.7 | 67.8 | 100.1 | 72 | 2 | 90834 99223 99309 | $33K |
| Aug 2020 | More hours than a day holds at a conservative unit price | 1.2 | 46.9 | 31.3 | 46.1 | 49 | 2 | 90834 99308 99309 | $15K |
| Sep 2020 | More hours than a day holds at a conservative unit price | 1.4 | 80.1 | 53.4 | 72.8 | 33 | 2 | 90834 99308 | $24K |
| Oct 2020 | More hours than a day holds at a conservative unit price | 3.2 | 75.9 | 50.6 | 71.3 | 84 | 2 | 90834 99223 99233 99308 99309 | $26K |
| Nov 2020 | More hours than a day holds at a conservative unit price | 2.0 | 58.5 | 39.0 | 55.7 | 55 | 2 | 90834 99233 99309 | $18K |
| Dec 2020 | More hours than a day holds at a conservative unit price | 2.8 | 152.0 | 101.4 | 136.6 | 71 | 3 | 90834 99309 | $47K |
| Jan 2021 | More hours than a day holds at a conservative unit price | 4.3 | 217.2 | 144.8 | 213.8 | 64 | 3 | 90834 99233 | $66K |
| Feb 2021 | More hours than a day holds at a conservative unit price | 3.7 | 198.9 | 132.6 | 185.7 | 66 | 3 | 90834 99233 | $54K |
| Mar 2021 | More hours than a day holds at a conservative unit price | 2.4 | 88.6 | 59.1 | 79.6 | 56 | 2 | 90834 99233 99308 | $27K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BRADFORD JAY STEPHENS, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | June 1, 2005, last updated March 7, 2023 |
| Practice location | 202 A SW, Miami, OK 74354, 918-541-9400 |
| Specialties | Specialist (174400000X, primary, license 18454 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 | |
|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | $391K | 75% | $1K | $101 (top 5% from $318) | 100th percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $39K | 7% | $113 | $96 (top 5% from $249) | 61st percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $24K | 5% | $96 | $81 (top 5% from $170) | 63rd percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $15K | 3% | $15 | $14 (top 5% from $58) | 52nd percentile | |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $14K | 3% | $4.96 | $5.72 (top 5% from $13) | 38th percentile | |
| 90853 | Group psychotherapyhistory of abuse | $13K | 2% | $927 | $60 (top 5% from $332) | too few months to rank | |
| 99239 | Hospital discharge day management, more than 30 minutes | $9K | 2% | $61 | $49 (top 5% from $101) | 66th percentile | |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $8K | 2% | $24 | $21 (top 5% from $84) | 58th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 317 | 58 | $14K | $84 | $65 | 1.3x | 2.0x (90th percentile 3.4x) |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 264 | 117 | $14K | $115 | $68 | 1.7x | 2.6x (90th percentile 4.3x) |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 126 | 115 | $13K | $300 | $151 | 2.0x | 3.0x (90th percentile 5.6x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 166 | 88 | $13K | $160 | $111 | 1.4x | 2.3x (90th percentile 3.8x) |
| 99239 | Hospital discharge day management, more than 30 minutes | 139 | 124 | $10K | $175 | $99 | 1.8x | 2.8x (90th percentile 5.6x) |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 70 | 70 | $7K | $120 | $107 | 1.1x | 2.3x (90th percentile 4.1x) |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 77 | 50 | $6K | $150 | $103 | 1.5x | 2.6x (90th percentile 4.7x) |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 101 | 20 | $5K | $115 | $79 | 1.5x | 2.1x (90th percentile 3.7x) |
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
118 providers in OK carry an indicator in the public record, with $46.9M at stake between them. The most common is part of a provider network, on 62 of them, followed by more hours than a day holds on 41. 10 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | LADD ATKINS Tulsa, OK, ranked 27 | $10K |
|
| 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 | DANIEL GARRISON Lawton, OK, ranked 260 | $15K |
|
| 1 | FRANKLIN NWOKE Oklahoma City, OK, ranked 315 | $6K |
|
| 1 | BACK PAIN HOME SUPPLIES LLC Drumright, OK, ranked 511 | $0 |
|
| 1 | NATASHA ALLMON Oklahoma City, OK, ranked 535 | $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.