Providers
All 22 in OK
HASSAN AWAD ABOUHOULI, MD
NPI 1366564304, individual, Tulsa, OK, Internal Medicine, Pulmonary Disease
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 2 months, but with up to 187 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 99233 ($313 per patient-month) sit in the top 5% of every provider billing that code.
score 55 of 100, rank 7936, $507K 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 |
|---|---|---|---|---|---|---|---|---|---|
| May 2022 | More hours than a day holds, even counting one unit per claim line | 26.3 | 11.6 | 7.7 | 10.9 | 176 | 1 | 99214 99223 99232 99233 99291 | $33K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 28.3 | 16.6 | 11.1 | 15.1 | 184 | 1 | 99214 99223 99232 99233 99291 | $44K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | HASSAN AWAD ABOUHOULI, MD |
| Type | Individual |
| Status | Active |
| NPI issued | April 3, 2007, last updated May 1, 2014 |
| Practice location | 1245 S UTICA AVE, STE 330, Tulsa, OK 74104-4214, 918-382-6540 |
| Specialties | Internal Medicine (207R00000X, license 125047898 IL) Internal Medicine, Critical Care Medicine (207RC0200X, license 25636 OK) Internal Medicine, Pulmonary Disease (207RP1001X, primary, license 25636 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 | |
|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $1.2M | 74% | $313 | $96 (top 5% from $249) | 98th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $180K | 11% | $76 | $81 (top 5% from $170) | 45th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $96K | 6% | $89 | $67 (top 5% from $174) | 69th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $60K | 4% | $64 | $60 (top 5% from $133) | 54th percentile | |
| 99291 | Critical care, first 30-74 minutes | $52K | 3% | $263 | $175 (top 5% from $536) | 72nd percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $22K | 1% | $107 | $95 (top 5% from $171) | 62nd percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $1K | 0% | $100 | $88 (top 5% from $210) | too few months to rank | |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | $782 | 0% | $14 | $27 (top 5% from $143) | too few months to rank |
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 |
|---|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 4,730 | 613 | $414K | $155 | $110 | 1.4x | 2.6x (90th percentile 4.7x) |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 3,514 | 576 | $205K | $120 | $74 | 1.6x | 2.6x (90th percentile 4.3x) |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 635 | 577 | $80K | $300 | $161 | 1.9x | 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 | 700 | 502 | $64K | $200 | $118 | 1.7x | 2.3x (90th percentile 3.8x) |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 173 | 172 | $20K | $300 | $152 | 2.0x | 2.4x (90th percentile 3.9x) |
| 99291 | Critical care, first 30-74 minutes | 124 | 68 | $19K | $400 | $198 | 2.0x | 4.7x (90th percentile 10.0x) |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 108 | 75 | $14K | $250 | $166 | 1.5x | 2.4x (90th percentile 4.1x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 146 | 124 | $9K | $150 | $83 | 1.8x | 2.2x (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
22 providers in Tulsa County, OK carry an indicator in the public record, with $9.2M at stake between them. The most common is part of a provider network, on 11 of them, followed by more hours than a day holds on 9. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | LADD ATKINS Tulsa, OK, ranked 27 | $10K |
|
| 1 | MELISSA FIKE Owasso, OK, ranked 622 | $0 |
|
| 3 | SEASONS HOSPICE INC Tulsa, OK, ranked 2525 | $0 |
|
| 3 | TULSA HILLS COMMUNITY INC Tulsa, OK, ranked 3149 | $0 |
|
| 3 | HOSPICE OF NORTHEAST OKLAHOMA, LLC Tulsa, OK, ranked 3203 | $0 |
|
| 3 | HEALTHCARE INNOVATIONS OF OKLAHOMA, LLC Broken Arrow, OK, ranked 3910 | $0 |
|
| 3 | CONHOLD OF OWASSO LLC Owasso, OK, ranked 4471 | $0 |
|
| 3 | CARE PLUS HOME HEALTH CARE INC Tulsa, OK, ranked 4835 | $0 |
|
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.