TWYLA PUMROY

NPI 1396315677, individual, Norman, OK, Social Worker, Clinical

Evidence tier

informational

score 29 of 100, rank 11881, $19K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	TWYLA PUMROY
Type	Individual
Status	Active
NPI issued	June 29, 2021, last updated June 29, 2021
Practice location	448 36TH AVE NW STE 101, Norman, OK 73072-4743, 405-573-9905
Specialties	Social Worker, Clinical (1041C0700X, primary)

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
90834	Psychotherapy, 45 minutes	$36K	59%	$27	$101 (top 5% from $318)	13th percentile
90832	Psychotherapy, 30 minutes	$25K	41%	$20	$59 (top 5% from $239)	21st percentile
90785	Psychiatric services complicated by communication factor	$107	0%	$1.39	$15 (top 5% from $35)	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
90834	Psychotherapy, 45 minutes	1,744	160	$95K	$99	$74	1.3x	2.0x (90th percentile 3.6x)
90832	Psychotherapy, 30 minutes	82	54	$2K	$75	$56	1.3x	2.0x (90th percentile 3.5x)

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 Cleveland County, OK carry an indicator in the public record, with $13.8M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by part of a provider network on 1.

tier	provider	at stake	why
3	TRADITIONS HOSPICE OF CHICKASHA, LLC Norman, OK, ranked 2297	$0	Part of provider network D1-00051, ranked 51 nationally.
4	RICARDO RODRIGUEZ Norman, OK, ranked 8898	$1.3M	Hours beyond a day in 1 month, but with up to 809 patients a month across 4 billing organizations, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
5	CASEY STEPHENS Oklahoma City, OK, ranked 9986	$1.9M	Medicaid dollars per patient on code 97533 ($684 per patient-month) sit in the top 5% of every provider billing that code.
5	VIVIAN HASBROOK Norman, OK, ranked 10657	$10.7M

Recent enforcement in OK

All releases

Department 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

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