trauma fund: 2016 disbursement report fund report...i. total amount paid disbursement period 1: 2015...

29
TRAUMA FUND: 2016 DISBURSEMENT REPORT

Upload: others

Post on 22-Feb-2020

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

TRAUMA FUND:

2016 DISBURSEMENT REPORT

Page 2: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Contents 1. Trauma Care Assistance Revolving Fund Summary 1

2. Table 1: Trauma Fund Disbursement Summary of the Total Amount Paid and Percentage Share by Provider Type 2

3. Table 2: Trauma Fund 2016 Disbursement for Emergency Medical Services 3

4. Table 3: Trauma Fund 2016 Disbursement for Hospitals 5

5. Table 4.1: Trauma Fund Period 1 Disbursement for Physicians 7

6. Table 4.2: Trauma Fund Period 2 Disbursement for Physicians 17

7. Chart 1: Map of Oklahoma Trauma Regions 1 to 8 27

Trauma Region Description

1 Northwest

2 Northeast

3 Southwest

4 East Central

5 Southeast

6 Central (surrounding Oklahoma City)

7 Tulsa County

8 Oklahoma County

Page 3: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

TRAUMA CARE ASSISTANCE REVOLVING FUND SUMMARY

Senate Bill 290 established the Trauma Care Assistance Revolving Fund (Trauma Fund) in 1999. This bill provided for the reimbursement of uncompensated costs associated with the provision of trauma care by recognized trauma hospitals and ambulance services (emergency medical services, EMS). In 2004, House Bill 1554 added physicians to the providers eligible for reimbursement from the Trauma Fund. Rules governing the Trauma Fund can be found in the Oklahoma Administrative Code, Title 310, Chapter 669 (https://www.ok.gov/health/Protective_Health/Emergency_Systems/Trauma_Division/Trauma_Care_Assistance_Revolving_Fund/index.html).

The Trauma Fund is a continuing fund that is available from year to year to support the public health safety net required to provide appropriate emergency medical care to severely injured patients. Current sources of revenue for the Trauma Fund include renewal and reinstatement fees for driver licenses; fines for second/subsequent convictions for driving without a license, convictions for driving under the influence, failure to maintain mandatory motor vehicle insurance, violating the Open Container law, speeding, and drug-related convictions; and the Tobacco Tax. The Trauma Fund receives approximately $26 million annually from all sources for disbursement from the Trauma Fund. Ninety percent of the funds collected will be distributed among physicians, hospitals, and EMS providers during each future disbursement period; up to thirty percent of each disbursement is earmarked specifically for physicians.

Since 2001, the Trauma Fund has paid more than $280 million to trauma care providers - hospitals received 83%, EMS 7%, and physicians 11% of the total amount disbursed. Disbursements have been provided primarily to physicians in the following areas of specialty: Anesthesiology Cardiovascular Surgery Thoracic Surgery Critical Care Surgery Emergency Medicine Family Medicine General Surgery

Hand Surgery Hospitalist Internal Medicine Neurological Surgery Neurology Oral Maxillofacial Surgery Orthopedic Surgery

Otolaryngology Pediatrics Plastic & Reconstructive Surgery Radiology Trauma Vascular Surgery

A new payment methodology was put in place in October 2014 with monthly disbursements for each Trauma Fund period (Period 1: October-March and Period 2: April-September). This change only affected hospitals and EMS; physicians continue to receive biannual disbursements. Although payments occur monthly for hospitals and EMS, all providers submit applications twice a year.

This 2016 report reflects $24 million in disbursements from October 2015 to September 2016 for care provided from January 1, 2014 to December 31, 2014. The Fund provided reimbursement to 834 providers for uncompensated/under-compensated major trauma care services. Additional information regarding each monthly installment disbursed to providers can be found at http://www.ok.gov/health/Protective_Health/Emergency_Systems/Trauma_Division/Trauma_Care_Assistance_Revolving_Fund/Reports/index.html.

2016 Trauma Fund Report, Page 1 of 27

Page 4: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

I. TOTAL AMOUNT PAID

Disbursement Period 1: 2015 Oct Period 2: 2016 Apr

Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec 31, 2014

Emergency Medical Services (EMS) $582,345 $729,341 $1,311,686

Hospitals $9,392,865 $9,809,802 $19,202,667

Physicians $1,792,667 $1,823,868 $3,616,535

Total Amount Paid $11,767,877 $12,363,011 $24,130,888

II. PERCENTAGE SHARE

Disbursement Period 1: 2015 Oct Period 2: 2016 Apr

Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec 31, 2014

Emergency Medical Services (EMS) 5% 6% 5%

Hospitals 80% 79% 80%

Physicians 15% 15% 15%

Total Percentage Share 100% 100% 100%

Table 1: 2016 Trauma Fund Disbursement Summary of the Total Amount Paid and Percentage Share by Provider Type

Annual Total

Average Percentage Share

2016 Trauma Fund Report, Page 2 of 27

Page 5: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Period 1** Period 2*** Period 1+2:

Total Disbursed1 Air Evac Lifeteam-395 Paris, AR A - 2,600.59 2,600.59 0.20%2 Air Evac Lifeteam-396 Pauls Valley A 21,871.51 25,820.15 47,691.65 3.64%3 Air Evac Lifeteam-397 Claremore A 11,266.08 26,011.79 37,277.87 2.84%4 Air Evac Lifeteam-398 McAlester, Altus A 9,319.49 - 9,319.49 0.71%5 Air Evac Lifeteam-399 Cushing A 14,038.66 35,433.00 49,471.66 3.77%6 Air Evac Lifeteam-400 Springdale, AR A - 2,590.03 2,590.03 0.20%7 Air Evac Lifeteam-401 Duncan & Lawton A 3,498.94 17,185.33 20,684.27 1.58%8 Air Evac Lifeteam-402 Wichita Falls, TX A 3,147.51 5,034.04 8,181.54 0.62%9 Air Evac Lifeteam-412 Elk City A 26,096.49 42,743.03 68,839.52 5.25%

10 Air Evac Lifeteam-428 Sherman/Decatur/Greenville TX A 13,245.01 25,436.04 38,681.05 2.95%11 Air Evac Lifeteam-429 Woodward A 13,993.55 14,739.39 28,732.94 2.19%12 Air Evac Lifeteam-430 DeQueen, AR A 21,843.75 11,569.35 33,413.10 2.55%13 Air Evac Lifeteam-473 Altus A - 22,129.42 22,129.42 1.69%14 Air Evac Lifeteam-482 Weatherford A - 3,328.44 3,328.44 0.25%15 Air Evac Lifeteam-433 Muskogee A 4,501.05 18,545.46 23,046.51 1.76%16 Alfalfa County EMS 1 1,411.71 - 1,411.71 0.11%17 Alva Ambulance Service 1 - 2,719.75 2,719.75 0.21%18 American Medical Response-Duncan 3 455.79 - 455.79 0.03%19 American Medical Response-Marlow 3 787.05 - 787.05 0.06%20 Apollo Medflight LLC A 8,442.18 3,195.55 11,637.73 0.89%21 Beaver County EMS 1 236.59 - 236.59 0.02%22 Burns Flat EMS 3 342.99 - 342.99 0.03%23 Perry Ambulance Service (City of) 2 699.36 - 699.36 0.05%24 Comanche County Memorial Hospital EMS 3 1,308.29 2,347.05 3,655.35 0.28%25 Comanche County Memorial Hospital-Cache EMS 3 1,672.96 1,551.61 3,224.57 0.25%26 Community Ambulance Service 1 655.45 - 655.45 0.05%27 Creek County Emergency Ambulance Service District 4 6,699.11 6,916.75 13,615.85 1.04%28 EagleMed LLC-367/382 Stillwater A 10,373.82 14,552.48 24,926.30 1.90%29 EagleMed LLC-382 Tahlequah A 17,625.53 27,541.58 45,167.11 3.44%30 EagleMed LLC-418 Hugo A 30,130.39 41,508.94 71,639.33 5.46%31 EagleMed LLC-423 Ardmore A 58,245.33 45,707.74 103,953.08 7.93%32 EagleMed LLC-446 Rotor Wing OKC A 36,960.79 28,220.92 65,181.71 4.97%33 EagleMed LLC-447 Fixed Wing A 16,193.62 15,278.00 31,471.62 2.40%34 EagleMed LLC-449 FW Ground 8 - 550.81 550.81 0.04%35 Ellis County EMS 1 1,260.49 - 1,260.49 0.10%

36Emergency Medical Services A Trust dba Okmulgee County EMS

4 1,712.73 - 1,712.73 0.13%

37 EMSA-East Division 7 17,734.32 11,690.06 29,424.38 2.24%38 EMSA-West Division 8 20,806.84 18,469.06 39,275.90 2.99%39 EMSSTAT-Norman Regional Hospital 6 5,071.93 4,823.66 9,895.59 0.75%40 Garber EMS 1 124.73 - 124.73 0.01%41 Jay EMS (City of) 2 1,314.84 - 1,314.84 0.10%42 Johnston County EMS 3 320.30 922.55 1,242.85 0.09%43 Kingfisher Ambulance (City of) 1 - 620.44 620.44 0.05%44 Kiowa County District #3 EMS 3 576.29 - 576.29 0.04%45 Kirks Emergency Services, Inc 3 2,772.09 - 2,772.09 0.21%46 Laverne Ambulance Service 1 211.56 176.69 388.24 0.03%47 Life Emergency Medical Service 1 714.00 2,146.27 2,860.27 0.22%48 LifeNet, Inc 2 - 3,192.14 3,192.14 0.24%49 McClain Grady EMS District #1 6 1,478.31 1,794.36 3,272.67 0.25%50 McCurtain County EMS 5 8,188.02 4,350.26 12,538.28 0.96%51 Medford Ambulance (City of) 1 760.16 - 760.16 0.06%52 Mercy Health-Love County EMS 3 842.37 1,507.44 2,349.81 0.18%53 Murray County EMS 3 - 383.91 383.91 0.03%54 Muskogee County EMS 4 4,656.29 5,418.88 10,075.17 0.77%55 Noble Fire Department EMS 6 280.32 - 280.32 0.02%

Table 2: Trauma Fund Disbursements for Emergency Medical Services (EMS)Provider Name - In Alphabetical Order

Claims January 1, 2014 to December 31, 2014

Percentage Share

Provider NameTrauma Region*

Amount Paid ($)

2016 Trauma Fund Report, Page 3 of 27

Page 6: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Period 1** Period 2*** Period 1+2:

Total Disbursed

Table 2: Trauma Fund Disbursements for Emergency Medical Services (EMS)Provider Name - In Alphabetical Order

Claims January 1, 2014 to December 31, 2014

Percentage Share

Provider NameTrauma Region*

Amount Paid ($)

56 React EMS 6 - 3,472.63 3,472.63 0.26%57 Rocky Mountain Holdings, LLC dba MediFlight A 92,070.90 138,410.59 230,481.49 17.57%58 Rocky Mountain Holdings, LLC dba Tulsa Life Flight A 79,622.91 86,251.64 165,874.56 12.65%59 Samaritan EMS 8 523.40 - 523.40 0.04%60 Samaritan EMS-468 Stroud 6 - 963.54 963.54 0.07%61 Samaritan EMS-478 Stilwell 4 - 892.61 892.61 0.07%62 Shidler Ambulance (City of) 2 369.19 - 369.19 0.03%63 Sinor EMS, Inc-Hobart 3 1,428.38 - 1,428.38 0.11%64 Sinor EMS-Weatherford 1 1,672.44 - 1,672.44 0.13%65 Southern Oklahoma Ambulance Service 3 1,349.38 597.07 1,946.46 0.15%66 Vici-Camargo EMS 1 437.85 - 437.85 0.03%67 Wewoka Ambulance Service (City of) 5 465.78 - 465.78 0.04%68 Woodward EMS 1 516.13 - 516.13 0.04%

582,344.94 729,341.04 1,311,685.98 100.00%

9,392,864.91 9,809,801.68 19,202,666.59

18,722,760.25 22,388,767.85 41,111,528.10

0.53 0.47 0.50

**Period 1 : Based on eligible claims from January 1, 2014 to June 30, 2014; monthly disbursements October 2015-March 2016*A = Air ambulance (aeromedical)

***Period 2 : Based on eligible claims from July 1, 2014 to December 31, 2014; monthly disbursements April 2016-September 2016

HOSPITAL Total =

EMS & HOSPITAL Total Eligible Uncompensated Cost =

EMS & Hospital Reimbursement Rate (X on the dollar of eligible cost) =

EMS Total =

2016 Trauma Fund Report, Page 4 of 27

Page 7: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Period 1* Period 2** Period 1+2:

Total Disbursed1 AllianceHealth Deaconess 8 8,844.01 16,987.76 25,831.76 0.13%2 AllianceHealth Durant 5 19,325.42 19,530.74 38,856.16 0.20%3 AllianceHealth Midwest 8 15,716.35 4,032.06 19,748.41 0.10%4 AllianceHealth Ponca City 2 16,189.90 18,450.85 34,640.75 0.18%5 AllianceHealth Woodward 1 30,960.94 6,335.75 37,296.69 0.19%6 Arbuckle Memorial Hospital 3 6,196.94 2,878.71 9,075.66 0.05%7 Bailey Medical Center 7 1,194.33 236.55 1,430.88 0.01%8 Bristow Medical Center 4 2,025.19 822.30 2,847.49 0.01%9 Choctaw Memorial Hospital 5 6,092.03 2,484.26 8,576.29 0.04%10 Comanche County Memorial Hospital 3 100,713.33 119,424.85 220,138.18 1.15%11 Creek Nation Community Hospital 5 - 2,333.32 2,333.32 0.01%12 Duncan Regional Hospital 3 24,678.64 24,334.89 49,013.52 0.26%13 EASTAR Health System 4 28,055.92 34,731.91 62,787.83 0.33%14 Eastern Oklahoma Medical Center 5 - 340.42 340.42 0.00%15 Elkview General Hospital 3 - 1,734.66 1,734.66 0.01%16 Fairfax Community Hospital 2 1,943.66 2,121.88 4,065.54 0.02%17 Fairview Regional Medical Center 1 1,276.98 3,848.83 5,125.81 0.03%18 Grady Memorial Hospital 3 3,234.16 7,203.85 10,438.01 0.05%19 Great Plains Regional Medical Center 5 27,373.05 27,458.61 54,831.66 0.29%20 Haskell County Community Hospital 4 419.73 2,616.16 3,035.88 0.02%21 Hillcrest Hospital Claremore 2 6,409.51 4,504.02 10,913.53 0.06%22 Hillcrest Hospital Cushing 2 809.52 - 809.52 0.00%23 Hillcrest Hospital Henryetta 4 2,488.76 42.32 2,531.08 0.01%24 Hillcrest Hospital South 7 9,847.79 4,282.55 14,130.34 0.07%25 Hillcrest Medical Center 7 266,493.01 147,735.16 414,228.17 2.16%26 Holdenville General Hospital 5 2,198.22 - 2,198.22 0.01%27 INTEGRIS Baptist Medical Center 8 602,182.82 376,705.06 978,887.88 5.10%28 INTEGRIS Baptist Regional Health Center 2 4,810.74 3,569.65 8,380.39 0.04%29 INTEGRIS Bass Baptist Health Center 1 40,636.35 17,163.35 57,799.70 0.30%30 INTEGRIS Canadian Valley Hospital 6 3,201.87 2,602.42 5,804.29 0.03%31 INTEGRIS Grove General Hospital 2 8,992.97 7,605.89 16,598.86 0.09%32 INTEGRIS Health Edmond 8 3,905.67 11,879.35 15,785.02 0.08%33 INTEGRIS Southwest Medical Center 8 186,642.74 212,144.91 398,787.65 2.08%34 Jackson County Memorial Hospital 3 10,114.01 28,670.43 38,784.44 0.20%35 Jane Phillips Medical Center 2 48,925.73 10,298.76 59,224.50 0.31%36 Jane Phillips Nowata Health Center 2 512.93 - 512.93 0.00%37 Jefferson County Hospital 3 - 2,617.93 2,617.93 0.01%38 McAlester Regional Health Center 5 23,400.29 27,000.63 50,400.92 0.26%39 McBride Clinic Orthopedic Hospital 8 16,328.44 - 16,328.44 0.09%40 McCurtain Memorial Hospital 5 11,537.13 7,884.86 19,421.98 0.10%41 Memorial Hospital of Stilwell 4 3,771.38 2,939.34 6,710.73 0.03%42 Memorial Hospital of Texas County 1 4,139.81 1,410.03 5,549.83 0.03%43 Mercy Hospital Ada 3 42,405.21 - 42,405.21 0.22%44 Mercy Hospital Ardmore 3 43,908.14 26,598.84 70,506.98 0.37%45 Mercy Hospital El Reno 6 1,900.15 4,571.59 6,471.74 0.03%46 Mercy Hospital Kingfisher 6 - 3,595.89 3,595.89 0.02%47 Mercy Hospital Logan County 6 10,427.60 8,850.32 19,277.92 0.10%48 Mercy Hospital Oklahoma City 8 120,816.96 79,140.31 199,957.27 1.04%49 Mercy Hospital Watonga 1 1,508.08 1,348.46 2,856.54 0.01%50 Muscogee (Creek) Nation Community Hospital 4 - 5,132.22 5,132.22 0.03%51 Muscogee (Creek) Nation Medical Center 4 26,074.28 - 26,074.28 0.14%52 Norman Regional Health System 6 175,018.10 102,602.61 277,620.71 1.45%53 Northeastern Health System 4 23,724.20 8,643.65 32,367.84 0.17%54 Okeene Municipal Hospital 1 1,128.01 - 1,128.01 0.01%55 Oklahoma State University Medical Center 7 10,652.13 3,892.29 14,544.42 0.08%

Percentage Share

Table 3: Trauma Fund Disbursements for HospitalsProvider Name - In Alphabetical Order

Claims January 1, 2014 to December 31, 2014

Provider NameTrauma Region

Amount Paid ($)

2016 Trauma Fund Report, Page 5 of 27

Page 8: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Period 1* Period 2** Period 1+2:

Total Disbursed

Percentage Share

Table 3: Trauma Fund Disbursements for HospitalsProvider Name - In Alphabetical Order

Claims January 1, 2014 to December 31, 2014

Provider NameTrauma Region

Amount Paid ($)

56 OU Medical Center*** 8 4,435,807.09 5,060,996.12 9,496,803.22 49.46%57 Pauls Valley General Hospital 3 16,956.32 2,967.69 19,924.01 0.10%58 Prague Municipal Hospital 6 2,320.01 - 2,320.01 0.01%59 Purcell Municipal Hospital 6 1,712.40 1,042.46 2,754.86 0.01%60 Saint Francis Hospital 7 1,165,546.23 1,400,544.09 2,566,090.31 13.36%61 Saint Francis Hospital South 7 17,627.41 3,888.35 21,515.76 0.11%62 Sayre Memorial Hospital 1 5,531.34 7,939.61 13,470.96 0.07%63 Share Medical Center 1 2,642.30 - 2,642.30 0.01%64 St Anthony Hospital 8 177,491.92 114,397.84 291,889.76 1.52%65 St Anthony Shawnee Hospital 6 8,476.88 23,167.75 31,644.63 0.16%66 St John Broken Arrow 7 10,187.44 16,039.34 26,226.78 0.14%67 St John Medical Center 7 1,443,236.99 1,705,951.39 3,149,188.38 16.40%68 St John Owasso 7 5,906.13 5,380.59 11,286.71 0.06%69 St John Sapulpa 4 1,516.43 2,913.63 4,430.06 0.02%70 St Mary's Regional Medical Center 1 44,168.21 19,125.18 63,293.39 0.33%71 Stillwater Medical Center 2 39,988.19 18,901.23 58,889.42 0.31%72 Wagoner Community Hospital 4 1,745.07 6,843.23 8,588.30 0.04%73 Weatherford Regional Hospital 1 2,851.42 8,361.99 11,213.41 0.06%

9,392,864.91 9,809,801.68 19,202,666.59 100.00%

582,344.94 729,341.04 1,311,685.98

18,722,760.25 22,388,767.85 41,111,528.10

0.53 0.47 0.50

*Period 1 : Based on eligible claims from January 1, 2014 to June 30, 2014; monthly disbursements October 2015-March 2016.**Period 2 : Based on eligible claims from July 1, 2014 to December 31, 2014; monthly disbursements April 2016-September 2016.***University Hospitals Authority and Trust.

HOSPITAL Total =

EMS & HOSPITAL Total Eligible Uncompensated Cost =

EMS & Hospital Reimbursement Rate (X on the dollar of eligible cost) =

EMS Total =

2016 Trauma Fund Report, Page 6 of 27

Page 9: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Last Name First Name1 AHS Oklahoma Physician Group, LLC dba Utica Park Clinic Abou Houli Hassan MD 3,650.26 0.204%2 St John Physicians, Inc Abramovitz Joel MD 6,390.45 0.356%3 Mercy Clinic Oklahoma Communities, Inc Adler Stephen MD 194.48 0.011%4 St John Anesthesia Services Akers David MD 1,853.77 0.103%5 Mercy Clinic Oklahoma Communities, Inc Alamian Seyed MD 436.72 0.024%6 OU Physicians Albrecht Roxie MD 56,848.11 3.171%7 OU Physicians Algan Sheila MD 5,699.81 0.318%8 OU Physicians Alleman Anthony MD 2,237.26 0.125%9 Radiology Consultants of Tulsa, Inc Allen Tate MD 960.84 0.054%10 Associated Anesthesiologists, Inc Ames Scott MD 899.13 0.050%11 Green Country Emergency Physicians Of Tulsa Anderson Russell DO 215.11 0.012%12 St John Physicians, Inc Andrews Sarah DO 163.42 0.009%13 Integris Baptist Medical Center ER Physicians Angles Erik MD 340.81 0.019%14 St John Physicians, Inc Arant Rebecca MD 1,272.34 0.071%15 OU Physicians Arnold Charles MD 112.47 0.006%16 Tulsa Radiology Associates, Inc Arya Satyendra MD 26.91 0.002%17 Tulsa Radiology Associates, Inc Aschenbeck Randal MD 2,274.16 0.127%18 Surgery, Inc Atherton Justin MD 15,563.58 0.868%19 Warren Clinic, Inc Azarian Maureen MD 194.48 0.011%20 OU Physicians Baird Samuel MD 3,527.49 0.197%21 Tulsa Radiology Associates, Inc Baker Kevin DO 964.25 0.054%22 Mercy Clinic Oklahoma Communities, Inc Baker Steven DO 365.20 0.020%23 Tulsa Bone & Joint Associates Balbas John MD 1,403.28 0.078%24 Tulsa Radiology Associates, Inc Baldeck Mark MD 1,033.63 0.058%25 OU Physicians Bane Barbara MD 80.37 0.004%26 OU Physicians Baranano Christopher MD 194.48 0.011%27 Radiology Consultants of Tulsa, Inc Barrett Penni MD 1,114.78 0.062%28 Emergency Medicine Physicians of Tulsa County, PLLC Barrow Leigh DO 1,014.05 0.057%29 Warren Clinic, Inc Barton Roger MD 199.04 0.011%30 St John Anesthesia Services Beasley Todd DO 775.94 0.043%31 OU Physicians Bender Jeffrey MD 36,234.64 2.021%32 Neurological Surgery dba Neurosurgery Specialists Benner Benjamin MD 4,782.93 0.267%33 St John Anesthesia Services Benton Sean DO 785.40 0.044%34 Care Communications LLC dba Saint Francis Trauma Institute Bergren Carl MD 9,241.67 0.516%35 Emergency Medicine Physicians of Tulsa County, PLLC Bernard Renae MD 4,710.65 0.263%36 Warren Clinic, Inc Berry Paul MD 9,793.55 0.546%37 AHS Oklahoma Physician Group, LLC dba Utica Park Clinic Bierach Jennifer MD 430.22 0.024%38 OU Physicians Biggs Daniel MD 1,788.42 0.100%39 Magnum Healthcare, Inc Black Jeffrey MD 236.94 0.013%40 St John Physicians, Inc Black Jeffrey MD 167.86 0.009%41 OSU Med Center Patient Services Blankenship Dennis DO 258.78 0.014%42 St John Physicians, Inc Blankenship Robert MD 3,906.43 0.218%43 OU Physicians-Tulsa (Dept of Surgery) Blebea John MD 134.73 0.008%44 OU Physicians Blebea Judy MD 1,654.16 0.092%45 St John Physicians, Inc Bloom Rebecca MD 167.86 0.009%46 OU Physicians Boe Justin MD 8,464.26 0.472%47 Neurological Surgery dba Neurosurgery Specialists Boedeker Daniel MD 2,690.26 0.150%48 OU Physicians Bond Ian MD 3,918.43 0.219%49 Eastern Oklahoma Orthopedic Center, Inc Boone Ralph MD 480.21 0.027%50 OU Physicians Bowen Ashley MD 1,219.56 0.068%51 Emergency Medicine Physicians of Tulsa County, PLLC Bowen William MD 2,233.44 0.125%52 Warren Clinic, Inc Bracciale Donna DO 608.63 0.034%53 Emergency Medicine Physicians of Tulsa County, PLLC Bradt Barrett MD 997.68 0.056%54 OU Physicians Brannon Dale MD 23.35 0.001%

Percentage Share

Provider Name

Table 4.1: Trauma Fund Period 1* for PhysiciansProvider Name - In Alphabetical Order (Last Name, First Name)

Claims January 1, 2014 to June 30, 2014

Affiliation Amount Paid

($)

2016 Trauma Fund Report, Page 7 of 27

Page 10: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Last Name First NamePercentage

ShareProvider Name

Table 4.1: Trauma Fund Period 1* for PhysiciansProvider Name - In Alphabetical Order (Last Name, First Name)

Claims January 1, 2014 to June 30, 2014

Affiliation Amount Paid

($) 55 St John Anesthesia Services Brinkley Robert DO 218.98 0.012%56 Surgery, Inc Brotherton III Lawrence MD 5,447.92 0.304%57 Mercy Clinic Oklahoma Communities, Inc Brown Brandon MD 30.12 0.002%58 St John Physicians, Inc Brown Eric MD 2,133.82 0.119%59 St John Physicians, Inc Brown Jordan DO 182.83 0.010%60 Surgery, Inc Bruns Stephen MD 4,575.59 0.255%61 Integris Baptist Medical Center ER Physicians Bryan Billy DO 340.81 0.019%62 St John Anesthesia Services Buchan Megan MD 624.77 0.035%63 Mercy Clinic Oklahoma Communities, Inc Buckley Dustan MD 0.76 0.000%64 Radiology Associates, LLC Burger David MD 103.48 0.006%65 OU Physicians Burns Estibaliz MD 2,151.82 0.120%66 Associated Anesthesiologists, Inc Burns Scott MD 940.95 0.052%67 St John Anesthesia Services Butcher Thomas MD 120.02 0.007%68 St John Physicians, Inc Calvert Joshua MD 36.42 0.002%69 Mercy Clinic Oklahoma Communities, Inc Campaigniac Erin MD 9,888.94 0.552%70 Green Country Emergency Physicians Of Tulsa Campbell James DO 329.16 0.018%71 St John Anesthesia Services Cannon Chad MD 2,704.21 0.151%72 OU Physicians Cannon Trinitia MD 4,971.38 0.277%73 Oklahoma Surgical Group, PLLC Carey John MD 244.80 0.014%74 St John Physicians, Inc Carrico George MD 534.74 0.030%75 Radiology Consultants of Tulsa, Inc Carstens Mary MD 1,829.77 0.102%76 OU Physicians Carter John MD 283.53 0.016%77 OU Physicians Carter Steven MD 8,142.21 0.454%78 Radiology Associates, LLC Cassidy Jr Francis MD 149.31 0.008%79 Integris Baptist Medical Center ER Physicians Caudle Matthew MD 1,007.45 0.056%80 Tulsa Radiology Associates, Inc Chain Vicki DO 386.44 0.022%81 AHS Oklahoma Physician Group, LLC dba Utica Park Clinic Chainakul Weera MD 7,781.29 0.434%82 St John Physicians, Inc Charles Michael MD 24,003.60 1.339%83 Warren Clinic, Inc Chekofsky Kenneth MD 39,589.88 2.208%84 OU Physicians Chetty Pramod MD 3,438.61 0.192%85 Tulsa Radiology Associates, Inc Chonka Zachary MD 3,109.67 0.173%86 Integris Baptist Medical Center ER Physicians Clark Rachel MD 533.79 0.030%87 Radiology Consultants of Tulsa, Inc Clouser Michael MD 3,118.09 0.174%88 OU Physicians Cochran Daniel MD 6,065.89 0.338%89 Tulsa Radiology Associates, Inc Cole Michael DO 2,143.03 0.120%90 St John Physicians, Inc Collins Madison DO 168.60 0.009%91 OU Physicians Cordry Jr Vincel DO 242.21 0.014%92 Mercy Clinic Oklahoma Communities, Inc Craig Jeffrey MD 1,181.99 0.066%93 Mercy Clinic Oklahoma Communities, Inc Crane Robert MD 344.54 0.019%94 Integris Baptist Medical Center ER Physicians Cunningham III Robert MD 325.57 0.018%95 Emergency Medicine Physicians of Tulsa County, PLLC Curry Julie DO 952.83 0.053%96 Mercy Clinic Oklahoma Communities, Inc Da Silva Leanne MD 576.96 0.032%97 Orthopedic & Trauma Services of Oklahoma Dadgar-Dehkordi Azad DO 20,405.86 1.138%98 Tulsa Radiology Associates, Inc Dappen Robert MD 10.64 0.001%99 OU Physicians Davey Joseph MD 8,552.49 0.477%100 OU Physicians Davis Cindy MD 293.37 0.016%101 OU Physicians Davis Nicholas MD 8,758.39 0.489%102 OU Physicians De Armendi Alberto MD 348.96 0.019%103 OU Physicians De Sousa Eduardo MD 291.59 0.016%104 St John Anesthesia Services Decker Garrett DO 1,109.48 0.062%105 Mercy Clinic Oklahoma Communities, Inc Delafield Frederick MD 61.66 0.003%106 OU Physicians Demiralp Gozde MD 9,237.66 0.515%107 Mercy Clinic Oklahoma Communities, Inc Dernaika Tarek MD 207.24 0.012%108 AHS Oklahoma Physician Group, LLC dba Utica Park Clinic Dickens Eugene MD 2,308.64 0.129%

2016 Trauma Fund Report, Page 8 of 27

Page 11: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Last Name First NamePercentage

ShareProvider Name

Table 4.1: Trauma Fund Period 1* for PhysiciansProvider Name - In Alphabetical Order (Last Name, First Name)

Claims January 1, 2014 to June 30, 2014

Affiliation Amount Paid

($) 109 Green Country Emergency Physicians Of Tulsa Dixon Jeffrey MD 547.43 0.031%110 Tulsa Bone & Joint Associates Drake Richard DO 903.20 0.050%111 St John Physicians, Inc Dull Scott MD 13,033.61 0.727%112 Tulsa Bone & Joint Associates Dumais Jules MD 15,372.98 0.858%113 Mercy Clinic Oklahoma Communities, Inc Dwuma Alex MD 14.31 0.001%114 OU Physicians Edwards Susan MD 128.81 0.007%115 OU Physicians El Amm Christian MD 2,978.01 0.166%116 Oklahoma Surgical Group, PLLC Eldridge Timothy MD 269.46 0.015%117 OU Physicians Elkaissi Mahmoud MD 12,919.87 0.721%118 OU Physicians Elwood Robin MD 5,968.57 0.333%119 Emergency Medicine Physicians of Tulsa County, PLLC Engelman Randy DO 2,082.24 0.116%120 Mercy Clinic Oklahoma Communities, Inc English III Derald DO 69.99 0.004%121 OU Physicians Erbar Gerald MD 5,903.14 0.329%122 OU Physicians Ertl William MD 47,119.20 2.628%123 Radiology Associates, LLC Evans James MD 100.16 0.006%124 OU Physicians Fails Robert MD 17,553.83 0.979%125 Emergency Medicine Physicians of Tulsa County, PLLC Fairless Justin DO 2,002.69 0.112%126 Radiology Associates, LLC Farhood Vincent MD 70.84 0.004%127 St John Physicians, Inc Farmer Charles MD 111.08 0.006%128 St John Physicians, Inc Farrar Angela DO 46.46 0.003%129 Emergency Medicine Physicians of Tulsa County, PLLC Felten Scott MD 335.72 0.019%130 Emergency Medicine Physicians of Tulsa County, PLLC Felten Kimberly DO 1,370.44 0.076%131 St John Physicians, Inc Fields Justin MD 21.99 0.001%132 Warren Clinic, Inc Finer Janis MD 99.52 0.006%133 Integris Baptist Medical Center ER Physicians Fish David MD 114.05 0.006%134 Tulsa Radiology Associates, Inc Fitter John MD 3,841.58 0.214%135 OU Physicians Foote Andrew MD 194.48 0.011%136 Radiology Associates, LLC Fortes Manuel MD 321.14 0.018%137 St John Anesthesia Services Friend II Jonathan MD 766.31 0.043%138 OU Physicians Fung Kar-Ming MD 92.35 0.005%139 OSU Med Center Patient Services Galbraith Jennifer DO 229.01 0.013%140 Mercy Clinic Oklahoma Communities, Inc Garmany Chad MD 170.27 0.009%141 St John Physicians, Inc Garrett Robert MD 2,859.42 0.160%142 Mercy Clinic Oklahoma Communities, Inc Garrett Travis MD 417.31 0.023%143 OU Physicians Garrison Virginia MD 5,407.58 0.302%144 OSU Med Center Patient Services Gearhart David DO 336.48 0.019%145 St John Physicians, Inc Gebetsberger Michael MD 46.46 0.003%146 Oklahoma Sports and Orthopedics Institute, PLLC Geib Timothy MD 1,732.00 0.097%147 Radiology Associates, LLC Gelczer Robert MD 281.70 0.016%148 Green Country Emergency Physicians Of Tulsa Gentges Joshua DO 659.22 0.037%149 Neurological Surgery dba Neurosurgery Specialists Georgy Ibrahim MD 194.48 0.011%150 Emergency Medicine Physicians of Tulsa County, PLLC Gharapetian Annie DO 1,128.10 0.063%151 OU Physicians Gibson Steven MD 9,618.06 0.537%152 OU Physicians Gierman Joshua MD 6,998.92 0.390%153 St John Physicians, Inc Gilbert David MD 1.59 0.000%154 OU Physicians Gillies Elizabeth MD 54.75 0.003%155 Associated Anesthesiologists, Inc Gillock Thomas MD 669.12 0.037%156 OU Physicians Glade Robert MD 882.12 0.049%157 Radiology Consultants of Tulsa, Inc Godara Suchitra MD 1,013.54 0.057%158 OU Physicians Gomes Amanda MD 4,506.51 0.251%159 OU Physicians Gomes Marcos MD 13,941.37 0.778%160 Green Country Emergency Physicians Of Tulsa Goodloe Jeffrey MD 335.72 0.019%161 Mercy Clinic Oklahoma Communities, Inc Goodwin James MD 32.34 0.002%162 Care Communications LLC dba Saint Francis Trauma Institute Goodwin Robert DO 24,595.88 1.372%

2016 Trauma Fund Report, Page 9 of 27

Page 12: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Last Name First NamePercentage

ShareProvider Name

Table 4.1: Trauma Fund Period 1* for PhysiciansProvider Name - In Alphabetical Order (Last Name, First Name)

Claims January 1, 2014 to June 30, 2014

Affiliation Amount Paid

($) 163 St John Physicians, Inc Graham Sarah DO 99.89 0.006%164 Green Country Emergency Physicians Of Tulsa Gray William MD 167.86 0.009%165 Care Communications LLC dba Saint Francis Trauma Institute Griffin Michael DO 7,669.33 0.428%166 OU Physicians Gross Naina MD 5,134.83 0.286%167 Radiology Associates, LLC Groves Charles MD 293.29 0.016%168 Warren Clinic, Inc Gursky Ryan DO 5,967.89 0.333%169 St John Physicians, Inc Guy Ronald MD 625.23 0.035%170 Mercy Clinic Oklahoma Communities, Inc Hale II William MD 1,787.26 0.100%171 Okmulgee Emergency PLLC Hall William MD 510.34 0.028%172 St John Physicians, Inc Halpin John DO 1,047.88 0.058%173 St John Physicians, Inc Hamilton Ashley DO 146.38 0.008%174 Radiology Consultants of Tulsa, Inc Hamilton Herbert MD 1,161.64 0.065%175 Radiology Associates, LLC Hamilton Murray MD 62.30 0.003%176 St John Physicians, Inc Hamilton Jr Frank MD 81.16 0.005%177 St John Physicians, Inc Han Patrick MD 2,286.45 0.128%178 Okmulgee Emergency PLLC Hanson Christian DO 167.86 0.009%179 Care Communications LLC dba Saint Francis Trauma Institute Harmon Charles MD 96.84 0.005%180 Radiology Consultants of Tulsa, Inc Harris David MD 1,253.77 0.070%181 OU Physicians Hassell Lewis MD 743.74 0.041%182 Radiology Consultants of Tulsa, Inc Hauger Kim MD 2,540.84 0.142%183 OU Physicians Havron III William MD 80,388.07 4.484%184 Warren Clinic, Inc Hawa Ziad MD 69.08 0.004%185 OMNI Medical Group, Inc Hawasli Omar MD 283.29 0.016%186 Tulsa Radiology Associates, Inc Hayes Lisa DO 2,336.47 0.130%187 OU Physicians Haywood Betty MD 1,461.27 0.082%188 Integris Baptist Medical Center ER Physicians Heigle Richard MD 175.20 0.010%189 OU Physicians Heimbach Stephen MD 1,243.17 0.069%190 OU Physicians Heinlen Jonathan MD 683.87 0.038%191 Emergency Medicine Physicians of Tulsa County, PLLC Hennings Lucas MD 3,367.00 0.188%192 Surgery, Inc Hepner Timothy MD 1,391.61 0.078%193 OU Physicians Herndon William MD 24.21 0.001%194 OU Physicians Herren Cherie MD 277.06 0.015%195 Mercy Clinic Oklahoma Communities, Inc Hieke Kenneth MD 2,435.36 0.136%196 St John Physicians, Inc Hildebrand Ashley MD 28.50 0.002%197 Mercy Clinic Oklahoma Communities, Inc Hill Jesse MD 505.78 0.028%198 OU Physicians Hiller Jay MD 229.26 0.013%199 Green Country Emergency Physicians Of Tulsa Himelic Daniel MD 167.86 0.009%200 St John Sapulpa Physicians c/o St John Sapulpa Holsopple II Richard DO 10.40 0.001%201 Tulsa Bone & Joint Associates Hood Ronald MD 1,182.47 0.066%202 Mercy Clinic Oklahoma Communities, Inc Hooper Elizabeth MD 9.50 0.001%203 OU Physicians Hoover Steven MD 4,417.11 0.246%204 Integris Baptist Medical Center ER Physicians Horton Tyler MD 8.23 0.000%205 OU Physicians Houck John MD 1,718.65 0.096%206 OU Physicians Huard David MD 127.53 0.007%207 St John Physicians, Inc Huddleston Joe DO 108.98 0.006%208 OU Physicians Hulin James DO 4,801.32 0.268%209 Green Country Emergency Physicians Of Tulsa Hunter Christopher MD 513.44 0.029%210 OU Physicians Husain Sanam MD 92.04 0.005%211 St John Physicians, Inc Hutto Jr William MD 208.55 0.012%212 Warren Clinic, Inc Jaiswal Kamna MD 552.80 0.031%213 Radiology Associates of Eastern Oklahoma, PLLC Jansen Jeremiah MD 778.01 0.043%214 Care Communications LLC dba Saint Francis Trauma Institute Jarvis Amy MD 17,484.44 0.975%215 Magnum Healthcare, Inc Jaskowiak Stephen DO 1.82 0.000%216 St John Physicians, Inc Jaskowiak Stephen DO 843.63 0.047%

2016 Trauma Fund Report, Page 10 of 27

Page 13: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Last Name First NamePercentage

ShareProvider Name

Table 4.1: Trauma Fund Period 1* for PhysiciansProvider Name - In Alphabetical Order (Last Name, First Name)

Claims January 1, 2014 to June 30, 2014

Affiliation Amount Paid

($) 217 Radiology Consultants of Tulsa, Inc Jennings John MD 1,892.44 0.106%218 Green Country Emergency Physicians Of Tulsa Johnson Jeffrey MD 167.86 0.009%219 AHS Oklahoma Physician Group, LLC dba Utica Park Clinic Johnson Jr James MD 7,681.92 0.429%220 St John Physicians, Inc Kacere Richard MD 123.88 0.007%221 Warren Clinic, Inc Kalkat Tejwant MD 276.32 0.015%222 OU Physicians Kammerlocher Paul MD 11,818.94 0.659%223 OU Physicians Karunapuzha Cherian MD 131.94 0.007%224 St John Physicians, Inc Kay Terry MD 0.32 0.000%225 Magnum Healthcare, Inc Kebert Cory MD 39.08 0.002%226 St John Physicians, Inc Kebert Cory MD 49.28 0.003%227 OU Physicians Kedzierska Katarzyna MD 399.38 0.022%228 Magnum Healthcare, Inc Kendall Shon DO 376.29 0.021%229 St John Physicians, Inc Kendall Shon DO 167.86 0.009%230 Emergency Medicine Physicians of Tulsa County, PLLC Kennedye James MD 1,362.14 0.076%231 OU Physicians Kernes Rodney DO 28.44 0.002%232 Mercy Clinic Oklahoma Communities, Inc Khalid Mansoor MD 58.68 0.003%233 OU Physicians Khan Zeeshaan MD 40,405.88 2.254%234 Warren Clinic, Inc Khichi Mahmood MD 886.75 0.049%235 Radiology Consultants of Tulsa, Inc Kilpadikar Anil MD 1,824.34 0.102%236 Radiology Associates, LLC Kirchhoff Kerri MD 53.40 0.003%237 Oklahoma Sports and Orthopedics Institute, PLLC Kirkpatrick Richard MD 194.48 0.011%238 OU Physicians Kishimoto Wayne MD 550.99 0.031%239 Integris Baptist Medical Center ER Physicians Knudsen Marc DO 346.71 0.019%240 Oklahoma Sports and Orthopedics Institute, PLLC Knutson Zakary MD 1,467.87 0.082%241 Associated Anesthesiologists, Inc Kohrs Rainer MD 1,275.51 0.071%242 Neurological Surgery dba Neurosurgery Specialists Koontz Douglas MD 13,006.21 0.726%243 OU Physicians Kosik Edward DO 937.83 0.052%244 Care Communications LLC dba Saint Francis Trauma Institute Koterba Rebecca MD 1,143.30 0.064%245 Tulsa Radiology Associates, Inc Kozlowski Anne DO 763.42 0.043%246 OU Physicians Kraus Teresa MD 23.47 0.001%247 OU Physicians Krempl Greg MD 2,002.50 0.112%248 Radiology Consultants of Tulsa, Inc Krieger Ronald MD 5,275.42 0.294%249 St John Physicians, Inc Kuhn Holly MD 87.77 0.005%250 Warren Clinic, Inc Kunkel Kevin MD 15,827.68 0.883%251 St John Physicians, Inc Kwon Julia DO 74.93 0.004%252 St John Physicians, Inc Lagaso Jill MD 469.66 0.026%253 OU Physicians Lake Jr Jack DO 2,667.10 0.149%254 Associated Anesthesiologists, Inc Lambrecht Bradley MD 188.19 0.010%255 OU Physicians Lamprich Bradley MD 3,281.87 0.183%256 St John Physicians, Inc Larson Dana MD 1,038.53 0.058%257 OU Physicians Laudenschlager Mark MD 36.74 0.002%258 Tulsa Radiology Associates, Inc Laughlin Richard MD 657.38 0.037%259 OU Physicians Lawrence Jr Charles MD 99.50 0.006%260 Radiology Consultants of Tulsa, Inc Le Van An MD 4,154.19 0.232%261 Radiology Consultants of Tulsa, Inc Lee Laura MD 2,021.34 0.113%262 Mercy Clinic Oklahoma Communities, Inc Lee Shawn MD 11.61 0.001%263 Radiology Associates, LLC Lee Stephen MD 296.42 0.017%264 OU Physicians Lees Jason MD 63,902.95 3.565%265 OU Physicians Lehman Thomas MD 22,222.05 1.240%266 OU Physicians Leonard Joe MD 39.55 0.002%267 Radiology Consultants of Tulsa, Inc Leonard Steven MD 3,174.88 0.177%268 OU Physicians Letton Jr Robert MD 2,640.14 0.147%269 OU Physicians Lewis Thomas MD 9,675.13 0.540%270 Tulsa Radiology Associates, Inc Lind Timothy MD 2,842.96 0.159%

2016 Trauma Fund Report, Page 11 of 27

Page 14: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Last Name First NamePercentage

ShareProvider Name

Table 4.1: Trauma Fund Period 1* for PhysiciansProvider Name - In Alphabetical Order (Last Name, First Name)

Claims January 1, 2014 to June 30, 2014

Affiliation Amount Paid

($) 271 Associated Anesthesiologists, Inc Lindsay Jeff MD 857.31 0.048%272 Tulsa Bone & Joint Associates Lovelace Brian MD 3,775.39 0.211%273 AHS Oklahoma Physician Group, LLC dba Utica Park Clinic Lowe Michael MD 7,730.76 0.431%274 Warren Clinic, Inc Luessenhop Christian MD 3,217.43 0.179%275 Radiology Consultants of Tulsa, Inc Lyons George MD 2,622.27 0.146%276 St John Anesthesia Services Macha Brian MD 562.36 0.031%277 St John Physicians, Inc Macias Jason DO 42.01 0.002%278 St John Anesthesia Services Maciver Donald DO 2,194.94 0.122%279 OU Physicians Madamangalam Abhinava MD 4,020.26 0.224%280 Emergency Medicine Physicians of Tulsa County, PLLC Madden Amanda DO 167.86 0.009%281 OU Physicians Maheshwari Praveen MD 6,517.84 0.364%282 OU Physicians Major Michael DO 545.25 0.030%283 OU Physicians Mansour Badie MD 2,595.39 0.145%284 OU Physicians Mantor Philip MD 1,525.32 0.085%285 OU Physicians Maqbool Feroz MD 686.28 0.038%286 OU Physicians Maqusi Suhair MD 1,212.30 0.068%287 Green Country Emergency Physicians Of Tulsa Mareshie Christy DO 845.16 0.047%288 St John Physicians, Inc Markert K. Eric DO 1.63 0.000%289 Warren Clinic, Inc Markman Bruce MD 1,967.39 0.110%290 Emergency Medicine Physicians of Tulsa County, PLLC Markowski Kevin MD 1,049.67 0.059%291 Neurosurgical Specialists of Tulsa Marouk John DO 11,220.10 0.626%292 OU Physicians Martin Michael MD 26,010.12 1.451%293 Magnum Healthcare, Inc Matloff Luke DO 464.70 0.026%294 St John Physicians, Inc Matloff Luke DO 206.81 0.012%295 Integris Baptist Medical Center ER Physicians Mayo Colby DO 167.86 0.009%296 Mercy Clinic Oklahoma Communities, Inc Mayo Colby DO 779.82 0.044%297 Integris Baptist Medical Center ER Physicians McAllister Joshua MD 167.86 0.009%298 OU Physicians McAllister Natalie MD 2,906.20 0.162%299 OMNI Medical Group, Inc McClintock Lynn MD 106.11 0.006%300 Neuroscience Specialists, PC McCoy Angela MD 40.00 0.002%301 Radiology Associates of Eastern Oklahoma, PLLC McCoy Justin MD 93.00 0.005%302 Integris Baptist Medical Center ER Physicians McIntosh Brady MD 773.98 0.043%303 Mercy Clinic Oklahoma Communities, Inc Mefford Brent MD 194.33 0.011%304 OU Physicians Messiha Ahdy MD 1,550.17 0.086%305 Mercy Clinic Oklahoma Communities, Inc Mikawa Kevin MD 2,022.40 0.113%306 St John Physicians, Inc Mikus III Stephen DO 206.15 0.011%307 Magnum Healthcare, Inc Minor Shawn DO 2,138.65 0.119%308 Mercy Clinic Oklahoma Communities, Inc Miranda Mary MD 73.27 0.004%309 Radiology Associates, LLC Molloy Allen MD 37.62 0.002%310 St John Anesthesia Services Montgomery Jewel MD 590.46 0.033%311 Care Communications LLC dba Saint Francis Trauma Institute Moore Toby DO 9,709.42 0.542%312 Surgery, Inc Morgan Rocky MD 3,663.55 0.204%313 Central States Orthopedic Specialists, Inc Morris Jeffrey DO 545.34 0.030%314 Tulsa Radiology Associates, Inc Moult Robert DO 2,685.14 0.150%315 OMNI Medical Group, Inc Mundra Vishal MD 126.03 0.007%316 OU Physicians Munson Anne MD 1,457.61 0.081%317 OU Physicians Murphree Allison MD 112.65 0.006%318 Magnum Healthcare, Inc Murr Indira MD 69.08 0.004%319 Integris Baptist Medical Center ER Physicians Myers Richard DO 176.09 0.010%320 Mercy Clinic Oklahoma Communities, Inc Nalagan Juan MD 402.25 0.022%321 Mercy Clinic Oklahoma Communities, Inc Nallacheru Srikanth MD 218.75 0.012%322 Neuroscience Specialists, PC Nasr Fadi MD 37.62 0.002%323 Magnum Healthcare, Inc Ngo Loc MD 131.94 0.007%324 St John Sapulpa Physicians c/o St John Sapulpa Ngo Loc MD 37.42 0.002%

2016 Trauma Fund Report, Page 12 of 27

Page 15: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Last Name First NamePercentage

ShareProvider Name

Table 4.1: Trauma Fund Period 1* for PhysiciansProvider Name - In Alphabetical Order (Last Name, First Name)

Claims January 1, 2014 to June 30, 2014

Affiliation Amount Paid

($) 325 OU Physicians Nguyen Dan MD 7,606.52 0.424%326 Radiology Associates, LLC Nguyen Jimmy MD 43.83 0.002%327 Warren Clinic, Inc Nguyen Tommy MD 251.65 0.014%328 St John Physicians, Inc Nguyen Trang MD 80.69 0.005%329 OMNI Medical Group, Inc Nguyen Trang MD 126.26 0.007%330 St John Anesthesia Services Nick Michael DO 923.11 0.051%331 OU Physicians Nicolescu Teodora MD 7,669.75 0.428%332 St John Physicians, Inc Niebergall Robert MD 42.01 0.002%333 Orthopedic & Trauma Services of Oklahoma Norris Brent MD 13,314.39 0.743%334 OU Physicians North Justin MD 7,828.35 0.437%335 Radiology Associates, LLC O'Dell II Richard MD 90.78 0.005%336 St John Physicians, Inc O'Hara David MD 739.15 0.041%337 OU Physicians Olander Robin MD 2,571.74 0.143%338 Magnum Healthcare, Inc Olson Garret DO 3.52 0.000%339 OU Physicians O'Mahony Gavin MD 6,971.42 0.389%340 Mercy Clinic Oklahoma Communities, Inc Opoku Michael MD 73.26 0.004%341 OU Physicians Ozcan Mehmet MD 1,837.86 0.103%342 Warren Clinic, Inc Parmley Matthew MD 3,531.73 0.197%343 OU Physicians Pascual Franchette MD 397.36 0.022%344 OU Physicians Pasque Charles MD 10,139.12 0.566%345 Radiology Consultants of Tulsa, Inc Patel Harish MD 805.11 0.045%346 St John Physicians, Inc Paulsen Robert MD 3.11 0.000%347 Mercy Clinic Oklahoma Communities, Inc Payne Joshua MD 6.13 0.000%348 OU Physicians Penaroza Shyla MD 4,316.21 0.241%349 St John Anesthesia Services Pentecost Diane MD 263.92 0.015%350 Tulsa Bone & Joint Associates Peterson Paul MD 131.94 0.007%351 OU Physicians Peyton Marvin MD 14,600.41 0.814%352 OU Physicians Pfenning Melissa MD 3,306.10 0.184%353 St John Physicians, Inc Phillips Chad MD 1,083.18 0.060%354 Emergency Medicine Physicians of Tulsa County, PLLC Phillips Miranda DO 1,470.99 0.082%355 OSU Med Center Patient Services Pickering Wyatt DO 122.28 0.007%356 Warren Clinic, Inc Pickvance Elizabeth MD 731.03 0.041%357 Mercy Clinic Oklahoma Communities, Inc Plinsky Michael MD 190.86 0.011%358 OU Physicians Ponder Michelle MD 183.79 0.010%359 St John Physicians, Inc Postlewait Robert MD 46.46 0.003%360 Care Communications LLC dba Saint Francis Trauma Institute Powell Nathan DO 23,346.82 1.302%361 Warren Clinic, Inc Powell Nathan DO 68.85 0.004%362 St John Physicians, Inc Powell II Charles MD 14.93 0.001%363 OU Physicians Prabhu Sandeep MD 52.53 0.003%364 OU Physicians Pratt Thomas MD 414.39 0.023%365 OU Physicians Puckett Timothy MD 42,152.97 2.351%366 OU Physicians Puffinbarger Nikola MD 217.77 0.012%367 OU Physicians Puffinbarger William MD 5,148.60 0.287%368 OU Physicians Rabb Craig MD 14,290.64 0.797%369 Mercy Clinic Oklahoma Communities, Inc Rader David MD 4.51 0.000%370 Neurological Surgery dba Neurosurgery Specialists Rahhal Ryan MD 6,118.99 0.341%371 OU Physicians Raj Tilak MD 4,674.56 0.261%372 Mercy Clinic Oklahoma Communities, Inc Ramasahayam Susheel MD 10.52 0.001%373 Radiology Consultants of Tulsa, Inc Ramji Faridali MD 17.80 0.001%374 OU Physicians Ramji Faridali MD 52.68 0.003%375 OU Physicians Rao Vaidy MD 1,759.24 0.098%376 St John Physicians, Inc Rapacki Thomas MD 44,507.72 2.483%377 Mercy Clinic Oklahoma Communities, Inc Raparthi Agnel MD 701.92 0.039%378 OU Physicians Ray Bappaditya MD 1,411.76 0.079%

2016 Trauma Fund Report, Page 13 of 27

Page 16: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Last Name First NamePercentage

ShareProvider Name

Table 4.1: Trauma Fund Period 1* for PhysiciansProvider Name - In Alphabetical Order (Last Name, First Name)

Claims January 1, 2014 to June 30, 2014

Affiliation Amount Paid

($) 379 OU Physicians Reust Daryl MD 5,605.02 0.313%380 OU Physicians Reyna Tania MD 332.64 0.019%381 OU Physicians Reynolds Christopher MD 97.11 0.005%382 Orthopaedic and Sports Medicine Center Ringus Vytautas MD 343.14 0.019%383 Integris Baptist Medical Center ER Physicians Roach Dillon MD 502.94 0.028%384 OSU Physicians Robbins Hal DO 110.18 0.006%385 OU Physicians Roberts Pamela MD 14,417.20 0.804%386 OU Physicians Roberts Zachary MD 55,763.19 3.111%387 Emergency Medicine Physicians of Tulsa County, PLLC Rodman IV Charles DO 1,748.02 0.098%388 St John Physicians, Inc Rooks James MD 94.32 0.005%389 St John Physicians, Inc Rosenfeld Allan MD 7,991.71 0.446%390 Mercy Clinic Oklahoma Communities, Inc Rosenhamer J Dustin MD 1,514.25 0.084%391 Surgery, Inc Ross Patrick MD 10,750.99 0.600%392 OU Physicians Ruiz-Elizalde Alejandro MD 194.48 0.011%393 St John Physicians, Inc Saenz Monica DO 5.18 0.000%394 OU Physicians Safavi-Abbasi Sam MD 3,600.10 0.201%395 OU Physicians Saleem Shadi MD 1,725.17 0.096%396 OU Physicians Sanclement Jose MD 1,554.13 0.087%397 Magnum Healthcare, Inc Sanford William MD 78.27 0.004%398 St John Physicians, Inc Sanford William MD 36.26 0.002%399 Mercy Clinic Oklahoma Communities, Inc Santos Richard MD 400.76 0.022%400 Magnum Healthcare, Inc Sarfraz Asif MD 95.14 0.005%401 St John Physicians, Inc Sarfraz Asif MD 24.63 0.001%402 OU Physicians Sawan Kamal MD 208.56 0.012%403 Mercy Clinic Oklahoma Communities, Inc Sawheny Nitin MD 20.78 0.001%404 Green Country Emergency Physicians Of Tulsa Schieche Christoph MD 1,156.18 0.064%405 OSU Med Center Patient Services Schiesel Michael DO 324.09 0.018%406 Tulsa Radiology Associates, Inc Schnitker Jonathan MD 2,301.29 0.128%407 OU Physicians Scifres Aaron MD 30,446.64 1.698%408 OU Physicians-Tulsa (Dept of Surgery) Sclabas Guido MD 6,216.92 0.347%409 Mercy Clinic Oklahoma Communities, Inc Seaton Brian MD 292.67 0.016%410 Tulsa Radiology Associates, Inc Shaffer Rodney MD 3,443.36 0.192%411 St John Physicians, Inc Shah Kavita MD 494.65 0.028%412 Radiology Consultants of Tulsa, Inc Sheffner Steven MD 3,524.33 0.197%413 Warren Clinic, Inc Shepherd James MD 2,213.31 0.123%414 St John Physicians, Inc Shepherd Scott DO 547.31 0.031%415 Central States Orthopedic Specialists, Inc Shockley Blake MD 263.88 0.015%416 St John Anesthesia Services Siex Neal DO 864.82 0.048%417 Emergency Medicine Physicians of Tulsa County, PLLC Simic Christopher DO 839.30 0.047%418 OU Physicians Simpson Ricky MD 894.21 0.050%419 Mercy Clinic Oklahoma Communities, Inc Singh Rajesh MD 3.18 0.000%420 OU Physicians Slobodov Gennady MD 649.67 0.036%421 St John Anesthesia Services Smarinsky Richard MD 50.84 0.003%422 Tulsa Radiology Associates, Inc Smith Bryan MD 3,655.47 0.204%423 Integris Baptist Medical Center ER Physicians Smith David MD 185.15 0.010%424 OU Physicians Smith Jacqueline MD 7,371.63 0.411%425 St John Physicians, Inc Smith Michael MD 721.49 0.040%426 Radiology Associates, LLC Snowden Georgianne MD 222.65 0.012%427 Integris Baptist Medical Center ER Physicians Sparkman Jeffrey MD 382.85 0.021%428 Orthopedic & Trauma Services of Oklahoma Stafford Paul MD 13,191.51 0.736%429 Radiology Consultants of Tulsa, Inc Stafira Jeffrey MD 2,622.85 0.146%430 Magnum Healthcare, Inc Stanton Audrey DO 40.48 0.002%431 St John Physicians, Inc Stanton Audrey DO 38.04 0.002%432 OU Physicians Stefanich Lyle MD 4,507.60 0.251%

2016 Trauma Fund Report, Page 14 of 27

Page 17: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Last Name First NamePercentage

ShareProvider Name

Table 4.1: Trauma Fund Period 1* for PhysiciansProvider Name - In Alphabetical Order (Last Name, First Name)

Claims January 1, 2014 to June 30, 2014

Affiliation Amount Paid

($) 433 Neuroscience Specialists, PC Stetson Nathaniel DO 207.18 0.012%434 Mercy Clinic Oklahoma Communities, Inc Stewart William MD 1,578.12 0.088%435 Tulsa Radiology Associates, Inc Stickney Randall MD 3,625.54 0.202%436 OU Physicians Stidham Anna MD 328.70 0.018%437 Radiology Associates, LLC Stokes Kenneth MD 307.04 0.017%438 Magnum Healthcare, Inc Stone Robert DO 30.12 0.002%439 OU Physicians Stowell Donald MD 2,998.92 0.167%440 OU Physicians Subramanyam Satya V MD 56,631.77 3.159%441 OU Physicians Sughrue Michael MD 4,568.63 0.255%442 St John Physicians, Inc Suku Suraj MD 92.16 0.005%443 OU Physicians Sullivan James MD 1,228.34 0.069%444 St John Physicians, Inc Sundene Kristy MD 66.78 0.004%445 Care Communications LLC dba Saint Francis Trauma Institute Sutterfield William MD 520.90 0.029%446 St John Physicians, Inc Suttle Allan MD 180.08 0.010%447 Care Communications LLC dba Saint Francis Trauma Institute Swenning Todd MD 10,932.33 0.610%448 Green Country Emergency Physicians Of Tulsa Swope Melanie MD 215.11 0.012%449 OU Physicians-Tulsa (Dept of Surgery) Taubman Kevin MD 1,750.54 0.098%450 AHS Oklahoma Physician Group, LLC dba Utica Park Clinic Tawil Ghassan MD 2,756.17 0.154%451 Green Country Emergency Physicians Of Tulsa Taylor Garrett MD 223.34 0.012%452 Radiology Consultants of Tulsa, Inc Taylor W Jordan MD 3,136.14 0.175%453 OU Physicians Teague David MD 33,411.38 1.864%454 St John Anesthesia Services Terrell Dana DO 1,689.59 0.094%455 OU Physicians Thai Theresa MD 5,113.65 0.285%456 St John Physicians, Inc Thompson Ruth DO 36.26 0.002%457 Warren Clinic, Inc Thukaram Roopa MD 137.14 0.008%458 OU Physicians Tiller David MD 2,060.30 0.115%459 OU Physicians Tinker Thomas MD 2,449.94 0.137%460 Radiology Associates, LLC Tjauw Iwan MD 599.21 0.033%461 Radiology Consultants of Tulsa, Inc Traino Jr Philip DO 2,241.05 0.125%462 Radiology Consultants of Tulsa, Inc Truong Nhan MD 1,948.81 0.109%463 St John Anesthesia Services Turner Sarah MD 50.84 0.003%464 Care Communications LLC dba Saint Francis Trauma Institute Van Zandt Debra MD 17,655.90 0.985%465 OU Physicians Vandyck Kofi MD 9,237.76 0.515%466 OU Physicians Vasan Nilesh MD 309.98 0.017%467 OU Physicians Vaughn Anthony MD 28.50 0.002%468 OU Physicians Vedamani Shawn MD 2,083.12 0.116%469 Radiology Associates, LLC Vij Vikas MD 186.19 0.010%470 Warren Clinic, Inc Wackowski Jr Michael MD 225.72 0.013%471 OU Physicians Wagner Jason MD 4,211.24 0.235%472 St John Anesthesia Services Walker James MD 263.92 0.015%473 Magnum Healthcare, Inc Wallace Jr Arthur DO 7.41 0.000%474 St John Anesthesia Services Waller Mark MD 1,515.54 0.085%475 Care Communications LLC dba Saint Francis Trauma Institute Wang Dennis MD 23,432.82 1.307%476 Mercy Clinic Oklahoma Communities, Inc Watson Michael MD 379.71 0.021%477 St John Anesthesia Services Watson II William MD 1,170.03 0.065%478 Central States Orthopedic Specialists, Inc Watts Garrett MD 2,044.16 0.114%479 OU Physicians Weiss Susan MD 292.26 0.016%480 St John Physicians, Inc Wenger Jill MD 2.74 0.000%481 Green Country Emergency Physicians Of Tulsa Whelan Lori MD 167.86 0.009%482 St John Anesthesia Services White Brad DO 120.02 0.007%483 OU Physicians White Christopher MD 10,350.53 0.577%484 OU Physicians White Jeremy MD 9,285.31 0.518%485 Integris Baptist Medical Center ER Physicians White Kevin MD 167.86 0.009%486 Emergency Medicine Physicians of Tulsa County, PLLC Whiteside Samantha MD 1,945.34 0.109%

2016 Trauma Fund Report, Page 15 of 27

Page 18: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Last Name First NamePercentage

ShareProvider Name

Table 4.1: Trauma Fund Period 1* for PhysiciansProvider Name - In Alphabetical Order (Last Name, First Name)

Claims January 1, 2014 to June 30, 2014

Affiliation Amount Paid

($) 487 Neuroscience Specialists, PC Wienecke Robert MD 420.20 0.023%488 Radiology Consultants of Tulsa, Inc Wiley III Thomas MD 2,186.04 0.122%489 St John Physicians, Inc Williams Kenneth MD 42.37 0.002%490 St John Physicians, Inc Williams Nancy MD 6.84 0.000%491 Radiology Associates, LLC Williamson Clinton MD 80.10 0.004%492 St John Physicians, Inc Williston Laurel MD 14.93 0.001%493 Magnum Healthcare, Inc Wills Kristin DO 89.86 0.005%494 St John Physicians, Inc Wills Kristin DO 167.86 0.009%495 Mercy Clinic Oklahoma Communities, Inc Wilson Brent MD 771.03 0.043%496 St John Physicians, Inc Wilson Victoria MD 1,889.03 0.105%497 OU Physicians Windrix Casey MD 103.44 0.006%498 Magnum Healthcare, Inc Wingerter Kristy DO 12.14 0.001%499 Green Country Emergency Physicians Of Tulsa Winn Berry MD 324.09 0.018%500 Mercy Clinic Oklahoma Communities, Inc Worden Robert DO 183.06 0.010%501 Magnum Healthcare, Inc Workman Russell MD 375.04 0.021%502 St John Physicians, Inc Workman Russell MD 167.86 0.009%503 OU Physicians Yaun Amanda MD 2,174.69 0.121%504 St John Physicians, Inc Yeary II Edwin MD 14,262.52 0.796%505 OU Physicians Yu Zhongxin MD 241.11 0.013%506 Surgery, Inc Zekauskas Raymond MD 2,120.40 0.118%507 OU Physicians Zhang Roy MD 486.24 0.027%508 OU Physicians Zhao Lichao MD 78.27 0.004%

1,792,667.23 100.000%

*Period 1 : Based on eligible claims from January 1, 2014 to June 30, 2014; disbursement in October 2015.

PHYSICIAN Total =

2016 Trauma Fund Report, Page 16 of 27

Page 19: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Last Name First Name1 St John Physicians, Inc Abramovitz Joel MD 5,759.41 0.316%2 OU Physicians Aggarwal Ruchi MD 69.08 0.004%3 Northwest Anesthesia, PC Aittaniemi Mark MD 682.34 0.037%4 OU Physicians Albrecht Roxie MD 55,477.86 3.042%5 OU Physicians Algan Sheila MD 8,565.56 0.470%6 OU Physicians Aliason Inger MD 239.91 0.013%7 OU Physicians Alleman Anthony MD 3,482.74 0.191%8 St John Anesthesia Services Allen James DO 222.45 0.012%9 Radiology Consultants of Tulsa, Inc Allen Tate MD 913.29 0.050%10 St John Physicians, Inc Anderson Brett MD 527.01 0.029%11 Green Country Emergency Physicians Of Tulsa Anderson Russell DO 176.09 0.010%12 St John Physicians, Inc Anderson Steffan MD 1,744.37 0.096%13 Integris Baptist Medical Center ER Physicians Angles Erik MD 157.72 0.009%14 St John Physicians, Inc Arant Rebecca MD 2,545.08 0.140%15 Warren Clinic, Inc Archer Robert DO 896.21 0.049%16 OU Physicians Arnold Charles MD 63.22 0.003%17 Surgery, Inc Atherton Justin MD 13,254.92 0.727%18 Northwest Anesthesia, PC Austerman David DO 129.30 0.007%19 St John Anesthesia Services Bachman Greg MD 348.96 0.019%20 OU Physicians Baird Samuel MD 577.78 0.032%21 Tulsa Radiology Associates, Inc Baker Kevin DO 931.06 0.051%22 Tulsa Bone & Joint Associates Balbas John MD 1,100.82 0.060%23 Tulsa Radiology Associates, Inc Baldeck Mark MD 1,611.97 0.088%24 OU Physicians Bane Barbara MD 10.95 0.001%25 OU Physicians Baranano Christopher MD 462.08 0.025%26 OU Physicians Barbosa-Hernandez German MD 7,113.66 0.390%27 Warren Clinic, Inc Bare Jane MD 517.97 0.028%28 Radiology Consultants of Tulsa, Inc Barrett Penni MD 330.56 0.018%29 Emergency Medicine Physicians of Tulsa County Barrow Leigh DO 395.53 0.022%30 Warren Clinic, Inc Barton Roger MD 215.11 0.012%31 OU Physicians Battiste James MD 42.01 0.002%32 St John Anesthesia Services Beasley Todd DO 196.29 0.011%33 OU Physicians Bedolla Edgar MD 25,836.66 1.417%34 St John Physicians, Inc Beeson Deborah MD 690.80 0.038%35 OU Physicians Bender Jeffrey MD 14,957.82 0.820%36 Neurological Surgery dba Neurosurgery Specialists Benner Benjamin MD 734.13 0.040%37 St John Anesthesia Services Benton Sean DO 152.67 0.008%38 Care Communications LLC Bergren Carl MD 10,064.33 0.552%39 Emergency Medicine Physicians of Tulsa County Bernard Renae MD 3,539.24 0.194%40 Warren Clinic, Inc Berry Paul MD 3,831.01 0.210%41 OU Physicians Bharucha Kersi MD 529.75 0.029%42 Warren Clinic, Inc Bhat Ambarish MD 234.30 0.013%43 OU Physicians Biggs Daniel MD 785.16 0.043%44 St John Physicians, Inc Black Jeffrey MD 599.16 0.033%45 OU Physicians-Tulsa (Dept of Surgery) Blebea John MD 134.73 0.007%46 OU Physicians Blebea Judy MD 1,633.76 0.090%47 St John Physicians, Inc Bloom Rebecca MD 167.86 0.009%48 OU Physicians Boe Justin MD 9,763.13 0.535%49 Neurological Surgery dba Neurosurgery Specialists Boedeker Daniel MD 12,036.68 0.660%50 OU Physicians Bohnstedt Bradley MD 20,380.62 1.117%51 St John Physicians, Inc Bommasamudram Pavankumar MD 4.77 0.000%52 OU Physicians Bond Ian MD 5,823.12 0.319%53 Emergency Medicine Physicians of Tulsa County Bowen William MD 698.11 0.038%54 Emergency Medicine Physicians of Tulsa County Bradt Barrett MD 6,234.57 0.342%55 St John Physicians, Inc Branch Aaron MD 9.40 0.001%

Percentage Share

Provider Name

Table 4.2: Trauma Fund Period 2* for PhysiciansProvider Name - In Alphabetical Order (Last Name, First Name)

Claims July 1, 2014 to December 31, 2014

Affiliation Amount Paid

($)

2016 Trauma Fund Report, Page 17 of 27

Page 20: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Last Name First NamePercentage

ShareProvider Name

Table 4.2: Trauma Fund Period 2* for PhysiciansProvider Name - In Alphabetical Order (Last Name, First Name)

Claims July 1, 2014 to December 31, 2014

Affiliation Amount Paid

($) 56 Integris Physician Services Brewer Edward MD 103.64 0.006%57 St John Anesthesia Services Brinkley Robert DO 588.87 0.032%58 Surgery, Inc Brotherton Lawrence MD 6,489.82 0.356%59 Mercy Clinic Oklahoma Communities, Inc Brown Brandon MD 36.26 0.002%60 St John Physicians, Inc Brown Eric MD 1,023.13 0.056%61 Green Country Emergency Physicians Of Tulsa Brown Loren MD 176.09 0.010%62 Eastern Oklahoma Orthopedic Center, Inc Browne Christopher MD 3,102.65 0.170%63 Integris Baptist Medical Center ER Physicians Bryan Billy DO 116.81 0.006%64 St John Anesthesia Services Buchan Megan MD 109.05 0.006%65 St John Physicians, Inc Bull Mindi DO 97.11 0.005%66 Radiology Associates, LLC Burger David MD 99.21 0.005%67 OU Physicians Burns Estibaliz MD 806.97 0.044%68 Associated Anesthesiologists, Inc Burns Scott MD 2,242.31 0.123%69 St John Anesthesia Services Butcher Thomas MD 377.99 0.021%70 St John Physicians, Inc Cain Amanda DO 21.75 0.001%71 Orthopedic & Trauma Services of Oklahoma Calder Mark MD 7,795.31 0.427%72 Green Country Emergency Physicians Of Tulsa Campbell James DO 343.95 0.019%73 Emergency Medicine Physicians of Tulsa County Canaday Eric DO 1,108.55 0.061%74 St John Anesthesia Services Cannon Chad MD 741.54 0.041%75 OU Physicians Cannon Trinitia MD 5,983.50 0.328%76 Oklahoma Surgical Group, PLLC Carey Joshua MD 759.66 0.042%77 St John Physicians, Inc Carrico George MD 83.23 0.005%78 Radiology Consultants of Tulsa, Inc Carstens Mary MD 3,183.91 0.175%79 OU Physicians Carter John MD 1,577.54 0.086%80 OU Physicians Carter Steven MD 6,432.50 0.353%81 Radiology Associates, LLC Cassidy Francis MD 210.57 0.012%82 Warren Clinic, Inc Cassidy John MD 246.75 0.014%83 Green Country Emergency Physicians Of Tulsa Castleberry Jerry DO 438.45 0.024%84 Northwest Anesthesia, PC Cates Aaron MD 226.82 0.012%85 Warren Clinic, Inc Ceesay Karamba MD 674.51 0.037%86 St John Physicians, Inc Cha Heather MD 61.94 0.003%87 Tulsa Radiology Associates, Inc Chain Vicki DO 775.84 0.043%88 AHS Oklahoma Physician Group, LLC Chainakul Weera MD 8,610.98 0.472%89 St John Physicians, Inc Charles Michael MD 24,063.83 1.319%90 Warren Clinic, Inc Chekofsky Kenneth MD 34,056.37 1.867%91 OU Physicians Chetty Pramod MD 2,900.58 0.159%92 Warren Clinic, Inc Childs Darwin DO 103.09 0.006%93 OU Physicians Chong David MD 4,187.51 0.230%94 Tulsa Radiology Associates, Inc Chonka Zachary MD 4,670.27 0.256%95 Integris Baptist Medical Center ER Physicians Clark Rachel MD 287.43 0.016%96 Tulsa Bone & Joint Associates Clements Marchel DO 1,271.34 0.070%97 Radiology Consultants of Tulsa, Inc Clouser Michael MD 2,038.06 0.112%98 OU Physicians Cochran Daniel MD 3,391.07 0.186%99 Integris Physician Services Cole Edwin MD 145.11 0.008%100 Tulsa Radiology Associates, Inc Cole Michael DO 3,585.88 0.197%101 St John Physicians, Inc Collins Madison DO 6.36 0.000%102 OU Physicians Conner Keri DO 1,823.76 0.100%103 OU Physicians Conrad Rachel MD 242.91 0.013%104 Warren Clinic, Inc Cook Sharolyn DO 204.30 0.011%105 Associated Anesthesiologists, Inc Coon Robert MD 239.47 0.013%106 OU Physicians Cordry Vincel DO 663.81 0.036%107 OU Physicians Cornwell Benjamin DO 5,374.95 0.295%108 OMNI Medical Group, Inc Cox Brennon DO 48.23 0.003%109 OMNI Medical Group, Inc Cox Jon MD 6.67 0.000%110 St John Physicians, Inc Coye Robert MD 5.44 0.000%

2016 Trauma Fund Report, Page 18 of 27

Page 21: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Last Name First NamePercentage

ShareProvider Name

Table 4.2: Trauma Fund Period 2* for PhysiciansProvider Name - In Alphabetical Order (Last Name, First Name)

Claims July 1, 2014 to December 31, 2014

Affiliation Amount Paid

($) 111 Mercy Clinic Oklahoma Communities, Inc Craig Jeffrey MD 5.32 0.000%112 Mercy Clinic Oklahoma Communities, Inc Crane Robert MD 214.32 0.012%113 St John Physicians, Inc Crawford Andrew DO 169.56 0.009%114 St John Physicians, Inc Crawford Kristoffer MD 4.28 0.000%115 St John Physicians, Inc Crowder Christopher MD 788.66 0.043%116 Integris Baptist Medical Center ER Physicians Cunningham Robert MD 229.16 0.013%117 Emergency Medicine Physicians of Tulsa County Curry Julie DO 2,138.14 0.117%118 Orthopedic & Trauma Services of Oklahoma Dadgar-Dehkordi Azad DO 9,497.12 0.521%119 St John Physicians, Inc D'Alessandro David MD 741.22 0.041%120 OU Physicians Davey Joseph MD 7,741.53 0.424%121 OU Physicians De Sousa Eduardo MD 486.07 0.027%122 OU Physicians Deb Subrato MD 754.98 0.041%123 St John Anesthesia Services Decker Garrett DO 327.15 0.018%124 OU Physicians Demiralp Gozde MD 10,353.15 0.568%125 Mercy Clinic Oklahoma Communities, Inc Dernaika Tarek MD 3.44 0.000%126 Associated Anesthesiologists, Inc Dougherty Gisele MD 544.25 0.030%127 Tulsa Bone & Joint Associates Drake Richard DO 1,539.06 0.084%128 OU Physicians Drinkaus Rebecca MD 283.53 0.016%129 OU Physicians Dukes Charles MD 515.98 0.028%130 Tulsa Bone & Joint Associates Dukes Kevin MD 533.82 0.029%131 St John Physicians, Inc Dull Scott MD 2,785.99 0.153%132 Tulsa Bone & Joint Associates Dumais Jules MD 23,377.88 1.282%133 St John Physicians, Inc Eaton F C DO 128.13 0.007%134 OU Physicians Edwards Susan MD 70.13 0.004%135 OU Physicians El Amm Christian MD 11,210.03 0.615%136 Oklahoma Surgical Group, PLLC Eldridge Timothy MD 172.35 0.009%137 OU Physicians Elkaissi Mahmoud MD 13,377.22 0.733%138 OU Physicians Elwood Robin MD 7,302.58 0.400%139 Emergency Medicine Physicians of Tulsa County Engelman Randy DO 2,695.73 0.148%140 Mercy Clinic Oklahoma Communities, Inc English III Gerald DO 268.10 0.015%141 OU Physicians Erbar Gerald MD 6,651.90 0.365%142 OU Physicians Ertl William MD 50,125.10 2.748%143 Radiology Associates, LLC Evans James MD 154.94 0.008%144 OU Physicians Fails Robert MD 21,779.11 1.194%145 Emergency Medicine Physicians of Tulsa County Fairless Justin DO 1,410.80 0.077%146 Radiology Associates, LLC Farhood Vincent MD 76.78 0.004%147 St John Physicians, Inc Farmer Charles MD 434.95 0.024%148 OU Physicians Farrow Aaron MD 1,076.48 0.059%149 Emergency Medicine Physicians of Tulsa County Felten Kimberly DO 1,123.03 0.062%150 Emergency Medicine Physicians of Tulsa County Felten Scott MD 1,148.91 0.063%151 OU Physicians Fitch Jane MD 370.77 0.020%152 Tulsa Radiology Associates, Inc Fitter John MD 4,239.39 0.232%153 St John Physicians, Inc Fogli Michael MD 61.94 0.003%154 OU Physicians Foote Andrew MD 437.83 0.024%155 St John Physicians, Inc Fore Frank MD 2,670.83 0.146%156 Radiology Associates, LLC Fortes Manuel MD 210.36 0.012%157 St John Physicians, Inc Fouts Holly MD 5.42 0.000%158 Central States Orthopedic Specialists, Inc Fox Jeff MD 3,097.49 0.170%159 Mercy Clinic Oklahoma Communities, Inc Frey Bret MD 18.72 0.001%160 St John Anesthesia Services Friend Jonathan MD 109.05 0.006%161 OU Physicians Fung Kar-Ming MD 181.87 0.010%162 OU Physicians Garg Ankur MD 1,123.86 0.062%163 Mercy Clinic Oklahoma Communities, Inc Garmany Chad MD 3.11 0.000%164 St John Physicians, Inc Garrett Robert MD 3,447.52 0.189%165 Mercy Clinic Oklahoma Communities, Inc Garrett Travis MD 137.96 0.008%

2016 Trauma Fund Report, Page 19 of 27

Page 22: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Last Name First NamePercentage

ShareProvider Name

Table 4.2: Trauma Fund Period 2* for PhysiciansProvider Name - In Alphabetical Order (Last Name, First Name)

Claims July 1, 2014 to December 31, 2014

Affiliation Amount Paid

($) 166 OU Physicians Garrison Virginia MD 4,197.46 0.230%167 Radiology Associates, LLC Gelczer Robert MD 392.95 0.022%168 Green Country Emergency Physicians Of Tulsa Gentges Joshua DO 176.09 0.010%169 OU Physicians Gibson Steven MD 8,131.34 0.446%170 OU Physicians Gierman Joshua MD 9,095.04 0.499%171 St John Physicians, Inc Gilbert David MD 4.21 0.000%172 OU Physicians Gillies Elizabeth MD 132.45 0.007%173 Radiology Consultants of Tulsa, Inc Godara Suchitra MD 875.67 0.048%174 St John Anesthesia Services Golbaba Babak MD 560.82 0.031%175 OU Physicians Gomes Amanda MD 12,035.50 0.660%176 OU Physicians Gomes Marcos MD 12,174.68 0.668%177 Mercy Clinic Oklahoma Communities, Inc Goodwin James MD 69.99 0.004%178 Care Communications LLC Goodwin Robert DO 11,640.78 0.638%179 Associated Anesthesiologists, Inc Gore Joshua MD 304.78 0.017%180 Integris Physician Services Goulart John DO 16.62 0.001%181 St John Physicians, Inc Graham Hurlis MD 8.51 0.000%182 Care Communications LLC Griffin Michael DO 1,469.54 0.081%183 OU Physicians Gross Naina MD 5,965.80 0.327%184 Radiology Associates, LLC Groves Charles MD 286.12 0.016%185 OU Physicians Gunda Divya MD 2,207.65 0.121%186 Warren Clinic, Inc Gursky Ryan DO 663.57 0.036%187 St John Physicians, Inc Guy Ronald MD 403.15 0.022%188 OU Physicians Hakimi Andrea DO 269.88 0.015%189 OU Physicians Hakimi Ryan DO 562.16 0.031%190 St John Physicians, Inc Halpin John DO 318.59 0.017%191 St John Physicians, Inc Hamilton Frank MD 20.90 0.001%192 Radiology Consultants of Tulsa, Inc Hamilton Herbert MD 924.48 0.051%193 Radiology Associates, LLC Hamilton Murray MD 288.30 0.016%194 St John Physicians, Inc Han Patrick MD 203.81 0.011%195 Northwest Anesthesia, PC Haney Jeremy MD 1,068.40 0.059%196 Emergency Medicine Physicians of Tulsa County Hanner Tess DO 167.86 0.009%197 Radiology Consultants of Tulsa, Inc Harris David MD 226.38 0.012%198 Orthopaedic and Sports Medicine Center Harris William MD 947.01 0.052%199 St John Physicians, Inc Harshman Heather MD 14.18 0.001%200 Radiology Consultants of Tulsa, Inc Hartsell Brent MD 11.16 0.001%201 OU Physicians Hassell Lewis MD 419.69 0.023%202 Green Country Emergency Physicians Of Tulsa Hatfield Jesse MD 236.33 0.013%203 Radiology Consultants of Tulsa, Inc Hauger Kim MD 2,155.93 0.118%204 OU Physicians Havron William MD 60,692.06 3.328%205 OMNI Medical Group, Inc Hawasli Omar MD 126.58 0.007%206 Tulsa Radiology Associates, Inc Hayes Lisa DO 3,803.38 0.209%207 OU Physicians Haywood Betty MD 2,137.38 0.117%208 OU Physicians Heimbach Stephen MD 337.90 0.019%209 Northwest Anesthesia, PC Helton Rodney MD 212.28 0.012%210 Emergency Medicine Physicians of Tulsa County Hennings Lucas MD 2,339.74 0.128%211 Surgery, Inc Hepner Timothy MD 362.77 0.020%212 OU Physicians Herndon William MD 1,216.84 0.067%213 OU Physicians Herren Cherie MD 83.23 0.005%214 Integris Physician Services Higgins Stanley MD 111.71 0.006%215 Warren Clinic, Inc Hill Gregory DO 399.97 0.022%216 Mercy Clinic Oklahoma Communities, Inc Hill Jesse MD 215.11 0.012%217 OU Physicians Hiller Jay MD 480.09 0.026%218 OU Physicians Hinkle Jennifer MD 3,720.00 0.204%219 OU Physicians Hinojosa William DO 6,149.32 0.337%220 St John Anesthesia Services Hodge Nicole MD 109.05 0.006%

2016 Trauma Fund Report, Page 20 of 27

Page 23: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Last Name First NamePercentage

ShareProvider Name

Table 4.2: Trauma Fund Period 2* for PhysiciansProvider Name - In Alphabetical Order (Last Name, First Name)

Claims July 1, 2014 to December 31, 2014

Affiliation Amount Paid

($) 221 Oklahoma Surgical Group, PLLC Holsaeter Svein MD 339.12 0.019%222 St John Physicians, Inc Holt Tamara DO 10.14 0.001%223 Associated Anesthesiologists, Inc Hook Kevin MD 358.93 0.020%224 OU Physicians Hoover Steven MD 2,146.75 0.118%225 Integris Baptist Medical Center ER Physicians Horton Tyler MD 167.86 0.009%226 St John Physicians, Inc Howard Carol MD 3.11 0.000%227 Neurological Surgery dba Neurosurgery Specialists Howard Charles MD 138.16 0.008%228 St John Physicians, Inc Hsu Gery MD 2,750.58 0.151%229 OU Physicians Huard David MD 644.52 0.035%230 St John Physicians, Inc Huddleston Joe DO 455.54 0.025%231 OU Physicians Hulin James DO 3,569.47 0.196%232 OU Physicians Husain Sanam MD 153.85 0.008%233 St John Physicians, Inc Hutto William MD 226.78 0.012%234 Warren Clinic, Inc Irvin Richard MD 84.82 0.005%235 St John Anesthesia Services Iverson Jamey MD 50.84 0.003%236 Tulsa Bone & Joint Associates Jabbour Antoine MD 263.88 0.014%237 Radiology Associates of Eastern Oklahoma, PLLC Jansen Jeremiah MD 151.27 0.008%238 Care Communications LLC Jarvis Amy MD 19,538.14 1.071%239 Warren Clinic, Inc Jarvis Amy MD 34.18 0.002%240 St John Physicians, Inc Jaskowiak Stephen DO 371.35 0.020%241 Radiology Consultants of Tulsa, Inc Jennings John MD 1,115.37 0.061%242 AHS Oklahoma Physician Group, LLC Johnson James MD 1,271.51 0.070%243 St John Anesthesia Services Jones Collette MD 654.30 0.036%244 St John Physicians, Inc Joni Carmack MD 43.46 0.002%245 OU Physicians Kammerlocher Paul MD 3,868.69 0.212%246 St John Physicians, Inc Kebert Cory MD 779.19 0.043%247 St John Physicians, Inc Keller Scott MD 36.80 0.002%248 St John Physicians, Inc Kendall Shon DO 626.99 0.034%249 St John Physicians, Inc Kennedy Craig MD 5.38 0.000%250 Emergency Medicine Physicians of Tulsa County Kennedye James MD 2,398.93 0.132%251 OU Physicians Kernes Rodney DO 259.64 0.014%252 Warren Clinic, Inc Khan Zeeshaan MD 3,023.45 0.166%253 Radiology Consultants of Tulsa, Inc Kilpadikar Anil MD 1,286.30 0.071%254 St John Physicians, Inc King Lindsey MD 4.96 0.000%255 Mercy Clinic Oklahoma Communities, Inc Kingrey John MD 131.94 0.007%256 Radiology Associates, LLC Kirchhoff Kerri MD 37.34 0.002%257 OU Physicians Kishimoto Wayne MD 1,349.17 0.074%258 Integris Baptist Medical Center ER Physicians Knudsen Marc DO 712.77 0.039%259 Associated Anesthesiologists, Inc Kohrs Rainer MD 391.86 0.021%260 Neurological Surgery dba Neurosurgery Specialists Koontz Douglas MD 11,276.06 0.618%261 OU Physicians Kosik Edward DO 1,686.59 0.092%262 Care Communications LLC Koterba Rebecca MD 366.60 0.020%263 Tulsa Radiology Associates, Inc Kozlowski Anne DO 1,498.22 0.082%264 OU Physicians Krempl Greg MD 1,689.17 0.093%265 Radiology Consultants of Tulsa, Inc Krieger Ronald MD 3,649.10 0.200%266 St John Physicians, Inc Krisa Peggy MD 75.24 0.004%267 St John Physicians, Inc Kuhn Holly MD 8.71 0.000%268 Warren Clinic, Inc Kumar Chundru MD 205.52 0.011%269 St John Physicians, Inc Kumar Gajal MD 14,932.39 0.819%270 Eastern Oklahoma Orthopedic Center, Inc Kunapuli Sarat DO 4,009.27 0.220%271 Warren Clinic, Inc Kunkel Kevin MD 97.11 0.005%272 St John Physicians, Inc Kwon Julia DO 8.03 0.000%273 St John Physicians, Inc Lagaso Jill MD 31.59 0.002%274 OU Physicians Lake Jack DO 5,114.94 0.280%275 OU Physicians Lambert Joseph MD 4,227.90 0.232%

2016 Trauma Fund Report, Page 21 of 27

Page 24: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Last Name First NamePercentage

ShareProvider Name

Table 4.2: Trauma Fund Period 2* for PhysiciansProvider Name - In Alphabetical Order (Last Name, First Name)

Claims July 1, 2014 to December 31, 2014

Affiliation Amount Paid

($) 276 OU Physicians Lamprich Bradley MD 827.50 0.045%277 OU Physicians Lansinger Yuri MD 10,706.84 0.587%278 St John Physicians, Inc Larson Dana MD 554.59 0.030%279 Northwest Anesthesia, PC Lasiter Nathan MD 599.05 0.033%280 Tulsa Radiology Associates, Inc Laughlin Richard MD 489.75 0.027%281 OU Physicians Lawrence Charles MD 219.70 0.012%282 Radiology Consultants of Tulsa, Inc Le Van An MD 1,063.38 0.058%283 OU Physicians Lee Daniel MD 342.54 0.019%284 Radiology Consultants of Tulsa, Inc Lee Laura MD 1,981.84 0.109%285 OU Physicians Lees Jason MD 79,551.69 4.362%286 OU Physicians Lehman Thomas MD 17,695.13 0.970%287 Integris Physician Services Lentz Christopher MD 4,583.86 0.251%288 OU Physicians Leonard Joe MD 228.79 0.013%289 Radiology Consultants of Tulsa, Inc Leonard Steven MD 3,177.89 0.174%290 OU Physicians Letton Robert MD 6,607.51 0.362%291 OU Physicians Lewis Thomas MD 4,470.23 0.245%292 Tulsa Radiology Associates, Inc Lind Timothy MD 3,683.06 0.202%293 Associated Anesthesiologists, Inc Lindsay Jeff MD 261.24 0.014%294 St John Anesthesia Services Long Eric DO 508.85 0.028%295 Tulsa Bone & Joint Associates Lovelace Brian MD 2,120.13 0.116%296 AHS Oklahoma Physician Group, LLC Lowe Michael MD 97.11 0.005%297 Warren Clinic, Inc Luessenhop Christian MD 1,280.45 0.070%298 Radiology Consultants of Tulsa, Inc Lyons George MD 2,467.04 0.135%299 OU Physicians-Tulsa (Dept of Surgery) Ma Harry MD 1,585.67 0.087%300 St John Anesthesia Services Maciver Donald DO 327.15 0.018%301 OU Physicians Madamangalam Abhinava MD 2,722.63 0.149%302 Emergency Medicine Physicians of Tulsa County Madden Amanda DO 335.72 0.018%303 OU Physicians Maheshwari Parul MD 4,078.47 0.224%304 OU Physicians Maheshwari Praveen MD 3,964.86 0.217%305 OU Physicians Major Michael DO 2,093.76 0.115%306 OU Physicians Malladi Satya MD 70,328.46 3.856%307 OU Physicians Mansour Badie MD 4,020.26 0.220%308 OU Physicians Mantor Philip MD 97.11 0.005%309 OU Physicians Maqbool Feroz MD 1,738.32 0.095%310 OU Physicians Maqusi Suhair MD 9,928.38 0.544%311 Green Country Emergency Physicians Of Tulsa Mareshie Christy DO 500.18 0.027%312 St John Physicians, Inc Markert K Eric DO 9.18 0.001%313 Warren Clinic, Inc Markman Bruce MD 1,249.11 0.068%314 Emergency Medicine Physicians of Tulsa County Markowski Kevin MD 1,217.12 0.067%315 Neurosurgical Specialists of Tulsa Marouk John DO 13,149.40 0.721%316 OU Physicians Martin Michael MD 28,323.57 1.553%317 Associated Anesthesiologists, Inc Mason Clinton MD 892.57 0.049%318 St John Physicians, Inc Matloff Luke DO 49.14 0.003%319 Mercy Clinic Oklahoma Communities, Inc Mayo Colby DO 702.57 0.039%320 OU Physicians McAllister Natalie MD 1,756.80 0.096%321 St John Physicians, Inc McCalip Shawna MD 1,045.58 0.057%322 OMNI Medical Group, Inc McClintock Lynn MD 200.50 0.011%323 Radiology Associates of Eastern Oklahoma, PLLC McCoy Justin MD 412.28 0.023%324 Integris Baptist Medical Center ER Physicians McIntosh Brady MD 510.92 0.028%325 Associated Anesthesiologists, Inc McKeown Kevin MD 304.78 0.017%326 Mercy Clinic Oklahoma Communities, Inc Mefford Brent MD 3.44 0.000%327 Integris Physician Services Mendlick Matthew MD 184.48 0.010%328 OU Physicians Messiha Ahdy MD 1,815.53 0.100%329 Mercy Clinic Oklahoma Communities, Inc Mikawa Kevin MD 55.04 0.003%330 St John Physicians, Inc Minor Shawn DO 5.51 0.000%

2016 Trauma Fund Report, Page 22 of 27

Page 25: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Last Name First NamePercentage

ShareProvider Name

Table 4.2: Trauma Fund Period 2* for PhysiciansProvider Name - In Alphabetical Order (Last Name, First Name)

Claims July 1, 2014 to December 31, 2014

Affiliation Amount Paid

($) 331 Mercy Clinic Oklahoma Communities, Inc Miranda Mary MD 36.92 0.002%332 Tulsa Radiology Associates, Inc Mocnik Jack MD 186.63 0.010%333 St John Anesthesia Services Montgomery Jewel MD 839.75 0.046%334 Care Communications LLC Moore Toby DO 19,853.14 1.089%335 Tulsa Radiology Associates, Inc Morelli John MD 3,410.04 0.187%336 St John Physicians, Inc Morgan Jack DO 175.68 0.010%337 Surgery, Inc Morgan Rocky MD 2,888.11 0.158%338 Warren Clinic, Inc Morris Edward MD 379.87 0.021%339 Central States Orthopedic Specialists, Inc Morris Jeffrey DO 501.45 0.027%340 Orthopaedic and Sports Medicine Center Moses Mark MD 4,867.47 0.267%341 Tulsa Radiology Associates, Inc Moult Robert DO 903.27 0.050%342 Warren Clinic, Inc Mseti Peter MD 207.04 0.011%343 OU Physicians Munson Anne MD 2,197.33 0.120%344 OU Physicians Murphree Allison MD 5.42 0.000%345 Northwest Anesthesia, PC Nesselrode Robert MD 577.07 0.032%346 St John Physicians, Inc Newbrough Scott MD 4,621.10 0.253%347 St John Physicians, Inc Ngo Loc MD 344.83 0.019%348 OU Physicians Nguyen Dan MD 6,347.53 0.348%349 Radiology Associates, LLC Nguyen Jimmy MD 116.14 0.006%350 OMNI Medical Group, Inc Nguyen Trang MD 75.35 0.004%351 St John Anesthesia Services Nick Michael DO 399.80 0.022%352 OU Physicians Nicolescu Teodora MD 7,437.06 0.408%353 Orthopedic & Trauma Services of Oklahoma Norris Brent MD 18,669.11 1.024%354 OU Physicians North Justin MD 11,666.38 0.640%355 Radiology Associates, LLC O'Dell Richard MD 88.28 0.005%356 St John Physicians, Inc O'Hara David MD 831.27 0.046%357 OU Physicians Okereke Evangelyn MD 218.10 0.012%358 OU Physicians Olander Robin MD 2,606.33 0.143%359 St John Physicians, Inc Olson Garret DO 1,071.24 0.059%360 OU Physicians O'Mahony Gavin MD 4,250.90 0.233%361 Mercy Clinic Oklahoma Communities, Inc Opoku Michael MD 29.81 0.002%362 OU Physicians Ozcan Mehmet MD 719.73 0.039%363 St John Physicians, Inc Paddock Clark MD 57.69 0.003%364 OU Physicians Pascual Franchette MD 1,163.33 0.064%365 OU Physicians Pasque Charles MD 3,033.86 0.166%366 Radiology Consultants of Tulsa, Inc Patel Harish MD 1,185.97 0.065%367 OMNI Medical Group, Inc Paulsen Robert MD 6.22 0.000%368 Mercy Clinic Oklahoma Communities, Inc Payne Joshua MD 733.88 0.040%369 OU Physicians Penaroza Shyla MD 5,745.00 0.315%370 St John Anesthesia Services Pentecost Diane MD 320.91 0.018%371 Tulsa Bone & Joint Associates Peterson Paul MD 273.01 0.015%372 OU Physicians Peyton Marvin MD 1,534.07 0.084%373 OU Physicians Pfenning Melissa MD 3,382.38 0.185%374 St John Physicians, Inc Phillips Chad MD 1,032.08 0.057%375 Emergency Medicine Physicians of Tulsa County Phillips Miranda DO 2,143.60 0.118%376 Warren Clinic, Inc Phillips Preston MD 787.43 0.043%377 St John Physicians, Inc Phillips Tanyanika MD 207.24 0.011%378 OMNI Medical Group, Inc Phoenix James MD 3.32 0.000%379 Warren Clinic, Inc Pickvance Elizabeth MD 1,271.34 0.070%380 OU Physicians Ponder Michelle MD 639.12 0.035%381 Integris Physician Services Ponzo John MD 177.52 0.010%382 St John Physicians, Inc Powell Charles MD 109.46 0.006%383 Care Communications LLC Powell Nathan DO 15,443.17 0.847%384 OU Physicians Prabhu Sandeep MD 182.35 0.010%385 OU Physicians Pratt Kimball MD 1,689.55 0.093%

2016 Trauma Fund Report, Page 23 of 27

Page 26: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Last Name First NamePercentage

ShareProvider Name

Table 4.2: Trauma Fund Period 2* for PhysiciansProvider Name - In Alphabetical Order (Last Name, First Name)

Claims July 1, 2014 to December 31, 2014

Affiliation Amount Paid

($) 386 Tulsa Radiology Associates, Inc Privat Cordell MD 161.71 0.009%387 Northwest Anesthesia, PC Pruthi Ravindar MD 249.32 0.014%388 OU Physicians Puckett Timothy MD 46,778.12 2.565%389 OU Physicians Puffinbarger Nikola MD 90.22 0.005%390 OU Physicians Puffinbarger William MD 7,889.17 0.433%391 OU Physicians Purcarin Gabriela MD 263.56 0.014%392 OU Physicians Rabb Craig MD 18,786.92 1.030%393 Mercy Clinic Oklahoma Communities, Inc Rader David MD 2.11 0.000%394 Neurological Surgery dba Neurosurgery Specialists Rahhal Ryan MD 13,820.18 0.758%395 OU Physicians Raj Tilak MD 5,605.02 0.307%396 Mercy Clinic Oklahoma Communities, Inc Ramasahayam Susheel MD 39.11 0.002%397 OU Physicians Ramji Faridali MD 463.12 0.025%398 OU Physicians Rao Vaidy MD 283.53 0.016%399 St John Physicians, Inc Rapacki Thomas MD 55,439.20 3.040%400 Mercy Clinic Oklahoma Communities, Inc Raparthi Agnel MD 296.30 0.016%401 St John Physicians, Inc Rasmussen David DO 0.96 0.000%402 OU Physicians Ray Bappaditya MD 215.11 0.012%403 Integris Physician Services Recine Carl MD 41.18 0.002%404 Warren Clinic, Inc Redmond Clyde MD 971.53 0.053%405 OU Physicians Reust Daryl MD 11,111.96 0.609%406 Northwest Anesthesia, PC Reuter Frederick MD 41.97 0.002%407 OU Physicians Reyna Tania MD 326.42 0.018%408 Orthopaedic and Sports Medicine Center Ringus Vytautas MD 227.52 0.012%409 Integris Baptist Medical Center ER Physicians Roach Dillon MD 287.43 0.016%410 OSU Physicians Roberts Nathan DO 1,403.25 0.077%411 OU Physicians Roberts Pamela MD 15,749.80 0.864%412 OU Physicians Roberts Zachary MD 43,068.94 2.361%413 Emergency Medicine Physicians of Tulsa County Rodman IV Charles DO 953.35 0.052%414 St John Physicians, Inc Rosenfeld Allan MD 10,773.47 0.591%415 Mercy Clinic Oklahoma Communities, Inc Rosenhamer J Dustin MD 28.30 0.002%416 Tulsa Radiology Associates, Inc Ross David MD 66.98 0.004%417 Surgery, Inc Ross Patrick MD 274.79 0.015%418 St John Physicians, Inc Rylander Edward MD 27.40 0.002%419 OMNI Medical Group, Inc Saenz Monica DO 9.33 0.001%420 OU Physicians Saleem Shadi MD 1,698.58 0.093%421 OU Physicians Sanclement Jose MD 9,320.41 0.511%422 Integris Physician Services Sands Steven DO 7,447.38 0.408%423 St John Physicians, Inc Sarfraz Asif MD 18.05 0.001%424 OU Physicians Sawan Kamal MD 7,681.96 0.421%425 Tulsa Radiology Associates, Inc Schnitker Jonathan MD 2,004.99 0.110%426 OU Physicians Scifres Aaron MD 54,734.55 3.001%427 OU Physicians-Tulsa (Dept of Surgery) Sclabas Guido MD 4,141.95 0.227%428 Associated Anesthesiologists, Inc Scott Reginald MD 304.78 0.017%429 Mercy Clinic Oklahoma Communities, Inc Seaton Brian MD 9.57 0.001%430 Tulsa Radiology Associates, Inc Shaffer Rodney MD 3,477.69 0.191%431 OU Physicians Shah Tanmay MD 3,409.58 0.187%432 Radiology Consultants of Tulsa, Inc Sheffner Steven MD 711.62 0.039%433 Warren Clinic, Inc Shepherd Larry DO 207.04 0.011%434 St John Physicians, Inc Shepherd Scott DO 267.79 0.015%435 Northwest Anesthesia, PC Shipley Bret MD 340.23 0.019%436 Central States Orthopedic Specialists, Inc Shockley Blake MD 2,791.92 0.153%437 St John Anesthesia Services Siex Neal DO 865.16 0.047%438 Emergency Medicine Physicians of Tulsa County Simic Christopher DO 215.11 0.012%439 Mercy Clinic Oklahoma Communities, Inc Singh Rajesh MD 71.19 0.004%440 Tulsa Bone & Joint Associates Slater James MD 2,560.87 0.140%

2016 Trauma Fund Report, Page 24 of 27

Page 27: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Last Name First NamePercentage

ShareProvider Name

Table 4.2: Trauma Fund Period 2* for PhysiciansProvider Name - In Alphabetical Order (Last Name, First Name)

Claims July 1, 2014 to December 31, 2014

Affiliation Amount Paid

($) 441 St John Anesthesia Services Smarinsky Richard MD 501.63 0.028%442 St John Anesthesia Services Smart Rodney MD 458.01 0.025%443 Tulsa Radiology Associates, Inc Smith Bryan MD 3,475.15 0.191%444 Central States Orthopedic Specialists, Inc Smith Casey MD 5,332.33 0.292%445 Integris Baptist Medical Center ER Physicians Smith David MD 416.32 0.023%446 OU Physicians Smith Jacqueline MD 5,154.23 0.283%447 Warren Clinic, Inc Smith James DO 138.16 0.008%448 St John Physicians, Inc Smith Michael MD 1,022.68 0.056%449 OMNI Medical Group, Inc Smith Tracy MD 2.22 0.000%450 Radiology Associates, LLC Snowden Georgianne MD 142.21 0.008%451 OU Physicians Stabinski Jordan MD 1,010.48 0.055%452 St John Anesthesia Services Stafford Amy MD 933.03 0.051%453 Orthopedic & Trauma Services of Oklahoma Stafford Paul MD 19,185.84 1.052%454 Radiology Consultants of Tulsa, Inc Stafira Jeffrey MD 2,646.06 0.145%455 St John Physicians, Inc Stanton Audrey DO 3.74 0.000%456 OU Physicians Stefanich Lyle MD 4,611.12 0.253%457 Tulsa Radiology Associates, Inc Stickney Randall MD 3,048.04 0.167%458 OU Physicians Stidham Anna MD 434.68 0.024%459 Radiology Associates, LLC Stidham Anna MD 26.70 0.001%460 St John Physicians, Inc Stone Robert DO 2.82 0.000%461 Tulsa Bone & Joint Associates Stotler Wesley DO 4,715.00 0.259%462 St John Anesthesia Services Stratton Harold MD 719.66 0.039%463 OU Physicians Sughrue Michael MD 3,991.43 0.219%464 OU Physicians Sullivan James MD 105.64 0.006%465 Care Communications LLC Sutterfield William MD 1,602.74 0.088%466 Care Communications LLC Swenning Todd MD 16,014.44 0.878%467 Associated Anesthesiologists, Inc Swenson Matthew MD 631.33 0.035%468 OU Physicians-Tulsa (Dept of Surgery) Taubman Kevin MD 827.62 0.045%469 Green Country Emergency Physicians Of Tulsa Taylor Garrett MD 500.94 0.027%470 Radiology Consultants of Tulsa, Inc Taylor W Jordan MD 1,762.99 0.097%471 OU Physicians Teague David MD 23,577.75 1.293%472 St John Anesthesia Services Terrell Dana DO 523.44 0.029%473 OU Physicians Thai Theresa MD 7,269.40 0.399%474 OU Physicians Thakral Rishi MD 151.29 0.008%475 OMNI Medical Group, Inc Thomas Yvan DO 5.54 0.000%476 St John Physicians, Inc Thompson Ruth DO 335.72 0.018%477 Warren Clinic, Inc Thukaram Roopa MD 918.27 0.050%478 OU Physicians Tiller David MD 1,050.03 0.058%479 OU Physicians Tinker Thomas MD 1,904.69 0.104%480 Radiology Associates, LLC Tjauw Iwan MD 84.50 0.005%481 Radiology Consultants of Tulsa, Inc Traino, Jr Philip DO 1,012.90 0.056%482 St John Physicians, Inc Tramonte Vallory MD 40.36 0.002%483 St John Physicians, Inc Trimble Mark MD 61.94 0.003%484 Radiology Consultants of Tulsa, Inc Truong Nhan MD 3,056.17 0.168%485 OU Physicians Tsai Betty MD 97.11 0.005%486 OU Physicians Tucker Phebe MD 4.64 0.000%487 OU Physicians Vallurupalli Santaram MD 20,218.07 1.109%488 Care Communications LLC Van Zandt Debra MD 13,690.23 0.751%489 OU Physicians Vandyck Kofi MD 11,900.74 0.653%490 OU Physicians Vanlandingham William MD 420.76 0.023%491 OU Physicians Vasan Nilesh MD 210.62 0.012%492 OU Physicians Vaughn Anthony MD 330.98 0.018%493 OU Physicians Vedamani Shawn MD 2,164.84 0.119%494 Radiology Associates, LLC Vij Vikas MD 224.27 0.012%495 Emergency Medicine Physicians of Tulsa County Vitale Dana DO 1,007.16 0.055%

2016 Trauma Fund Report, Page 25 of 27

Page 28: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Last Name First NamePercentage

ShareProvider Name

Table 4.2: Trauma Fund Period 2* for PhysiciansProvider Name - In Alphabetical Order (Last Name, First Name)

Claims July 1, 2014 to December 31, 2014

Affiliation Amount Paid

($) 496 Orthopaedic and Sports Medicine Center Vogel R Bradley DO 307.36 0.017%497 St John Physicians, Inc Vu Michael MD 91.04 0.005%498 OMNI Medical Group, Inc Wackowski Rebecca MD 2.22 0.000%499 OU Physicians Wagner Jason MD 9,260.03 0.508%500 St John Anesthesia Services Walker James MD 305.27 0.017%501 St John Anesthesia Services Waller Mark MD 381.74 0.021%502 Care Communications LLC Wang Dennis MD 2,830.25 0.155%503 Northwest Anesthesia, PC Ward Harper MD 936.27 0.051%504 St John Anesthesia Services Watson William MD 348.96 0.019%505 St John Physicians, Inc Watson, Jr Joel DO 39.46 0.002%506 OU Physicians Webb Tyler MD 49.60 0.003%507 St John Physicians, Inc Wenger Jill MD 2.22 0.000%508 St John Physicians, Inc Wetz R Colin DO 1.59 0.000%509 St John Anesthesia Services White Brad DO 1,421.90 0.078%510 OU Physicians White Christopher MD 11,286.33 0.619%511 OU Physicians White Jeremy MD 4,011.34 0.220%512 Integris Baptist Medical Center ER Physicians White Kevin MD 147.86 0.008%513 Tulsa Radiology Associates, Inc White Thomas MD 26.43 0.001%514 Emergency Medicine Physicians of Tulsa County Whiteside Samantha MD 510.47 0.028%515 Radiology Consultants of Tulsa, Inc Wiley Thomas MD 1,384.66 0.076%516 Green Country Emergency Physicians Of Tulsa Williams Emily MD 508.67 0.028%517 St John Physicians, Inc Williams Kenneth MD 14.44 0.001%518 St John Physicians, Inc Williams Nancy MD 3.44 0.000%519 Radiology Associates, LLC Williamson Clinton MD 64.41 0.004%520 St John Physicians, Inc Wills Kristin DO 321.49 0.018%521 Mercy Clinic Oklahoma Communities, Inc Wilson Brent MD 206.81 0.011%522 St John Physicians, Inc Wilson Victoria MD 756.97 0.042%523 OU Physicians Windrix Casey MD 365.58 0.020%524 St John Physicians, Inc Wingerter Kristy DO 7.41 0.000%525 OU Physicians Wong Kenneth MD 97.36 0.005%526 St John Physicians, Inc Workman Russell MD 65.48 0.004%527 Northwest Anesthesia, PC Wynn Jeremy MD 328.60 0.018%528 Integris Physician Services Yasin Muhammad MD 88.04 0.005%529 OU Physicians Yaun Amanda MD 621.54 0.034%530 St John Physicians, Inc Yeary Edwin MD 14,155.57 0.776%531 St John Physicians, Inc Yount Brian MD 0.42 0.000%532 St John Physicians, Inc Zelkind Garrett DO 3.52 0.000%533 OU Physicians Zhang Roy MD 33.88 0.002%534 OU Physicians Zhao Lichao MD 920.21 0.050%535 Mercy Clinic Oklahoma Communities, Inc Zouwayhed Mazen MD 78.43 0.004%

1,823,867.65 100.000%

*Period 2 : Based on eligible claims from July 1, 2014 to December 31, 2014; disbursement in April 2016.

PHYSICIAN Total =

2016 Trauma Fund Report, Page 26 of 27

Page 29: TRAUMA FUND: 2016 DISBURSEMENT REPORT Fund Report...I. TOTAL AMOUNT PAID Disbursement Period 1: 2015 Oct Period 2: 2016 Apr Services Claim Period Jan 1, 2014-Jun 30, 2014 Jul 1, 2014-Dec

Oklahoma State Department of HealthEmergency Systems Protective Health Service

Oklahoma Trauma Regions

12

3

4

5

6

7

8

¯N0 20 4010

Miles2016 Trauma Fund Report, Page 27 of 27

brandonb
Typewritten Text
brandonb
Typewritten Text
brandonb
Typewritten Text
gracep
Typewritten Text
REGIONS: Region 1 Northwest Region 2 Northeast Region 3 Southwest Region 4 East Central Region 5 Southeast Region 6 Central Region 7 Tulsa County Region 8 Oklahoma County
gracep
Typewritten Text
gracep
Typewritten Text
gracep
Typewritten Text
gracep
Typewritten Text
gracep
Typewritten Text
gracep
Typewritten Text
gracep
Typewritten Text