Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OK › TAHLEQUAH › NORTHEASTERN HEALTH SYSTEM

NORTHEASTERN HEALTH SYSTEM

NPI: 1003865999 · TAHLEQUAH, OK 74464 · 207P00000X

$9.83M
Total Medicaid Paid
131,706
Total Claims
127,477
Beneficiaries
154
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,718 $835K
2019 13,250 $940K
2020 9,299 $717K
2021 17,445 $1.20M
2022 30,554 $2.15M
2023 29,749 $2.43M
2024 14,691 $1.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 12,303 12,141 $3.16M
99283 17,145 16,982 $2.84M
99285 2,571 2,539 $891K
69436 1,041 581 $772K
96374 1,976 1,947 $266K
99282 1,973 1,954 $169K
87426 3,803 3,769 $144K
42820 27 27 $117K
80053 8,262 7,878 $109K
87591 2,888 2,844 $100K
87491 2,870 2,829 $88K
69421 44 34 $66K
87880 4,447 4,390 $64K
85025 8,445 8,011 $56K
87804 1,871 1,853 $54K
43239 144 144 $53K
87635 945 937 $47K
36415 16,330 15,064 $46K
U0004 Cov-19 test non-cdc hgh thru 663 661 $46K
96372 708 701 $42K
88305 388 388 $41K
96375 839 818 $36K
80305 2,817 2,698 $30K
96361 667 656 $29K
71046 1,735 1,722 $28K
71045 1,967 1,948 $27K
87529 396 392 $25K
45378 38 38 $25K
74177 122 122 $22K
45385 29 29 $21K
87581 653 651 $20K
87276 1,474 1,469 $20K
87661 648 639 $19K
93005 3,470 3,419 $18K
80307 327 309 $18K
78452 67 67 $17K
81025 1,870 1,848 $15K
84443 982 977 $14K
73560 595 575 $11K
99281 238 238 $11K
80048 958 949 $11K
82805 122 121 $11K
73110 366 319 $9K
87086 1,158 1,136 $8K
88175 380 380 $8K
87624 281 281 $8K
93306 122 122 $8K
80061 615 611 $7K
87511 243 243 $7K
87481 215 215 $6K
87811 173 172 $6K
85027 1,066 1,033 $6K
96365 39 39 $6K
80055 127 127 $6K
87486 653 651 $6K
87070 634 629 $5K
83615 1,089 832 $5K
43235 15 15 $5K
86803 391 391 $5K
96413 20 12 $5K
70450 95 93 $5K
84484 439 430 $5K
87798 163 161 $5K
76805 55 55 $5K
81003 1,976 1,953 $4K
96360 25 25 $4K
87275 325 324 $4K
73562 206 203 $4K
86787 305 304 $4K
83036 415 413 $4K
82306 147 147 $4K
81001 1,237 1,220 $3K
73721 27 27 $3K
83690 568 561 $3K
86592 847 836 $3K
87522 Neg quan hep c or qual rna 77 77 $3K
76801 45 45 $3K
73030 160 156 $3K
76830 37 37 $3K
G0463 Hospital outpt clinic visit 300 281 $2K
74176 27 27 $2K
73130 109 93 $2K
86762 167 167 $2K
82951 190 173 $2K
84702 139 129 $2K
87807 152 151 $2K
83735 289 284 $2K
81002 602 583 $2K
86850 189 187 $2K
86756 114 114 $2K
86235 16 16 $1K
84439 145 145 $1K
87430 67 67 $927.18
86901 302 301 $763.67
76856 12 12 $744.60
86900 299 298 $741.44
86480 12 12 $618.32
73610 30 26 $616.36
94640 54 51 $581.11
88300 57 57 $562.31
84403 24 24 $547.34
82677 25 25 $491.00
84481 28 28 $481.88
84134 30 27 $389.40
83718 54 53 $385.84
82105 25 25 $340.60
86160 15 15 $330.77
86336 25 25 $316.40
82681 12 12 $298.20
82670 12 12 $298.20
J2405 Ondansetron hcl injection 731 715 $278.24
82550 50 49 $277.92
83520 16 16 $276.48
84478 54 53 $275.12
84402 12 12 $271.92
72100 12 12 $270.68
73630 15 12 $255.25
J3010 Fentanyl citrate injection 183 169 $246.42
84144 13 13 $237.15
94664 16 16 $224.64
83516 15 15 $215.46
83001 13 13 $214.89
82465 54 53 $205.11
87210 41 41 $194.07
82785 13 12 $186.32
86200 16 16 $184.32
86225 15 15 $183.30
74018 13 13 $181.74
82950 41 41 $178.34
86038 15 15 $161.25
86780 12 12 $153.14
86140 31 31 $142.91
87340 12 12 $110.28
84460 18 18 $84.78
84450 18 18 $82.98
82565 18 18 $81.90
86431 15 15 $75.60
84550 14 14 $56.28
85014 13 12 $34.72
85018 13 12 $34.72
J0665 Inj, bupivacaine, nos, 0.5mg 14 12 $34.00
85652 14 14 $33.60
Q0162 Ondansetron oral 54 53 $2.64
J7040 Normal saline solution infus 1,586 1,474 $0.00
Q9967 Locm 300-399mg/ml iodine,1ml 152 151 $0.00
J2270 Morphine sulfate injection 12 12 $0.00
J7120 Ringers lactate infusion 93 89 $0.00
J1200 Diphenhydramine hcl injectio 12 12 $0.00
J1885 Ketorolac tromethamine inj 386 385 $0.00
J1100 Dexamethasone sodium phos 231 228 $0.00
36000 97 97 $0.00
J2001 Lidocaine injection 197 195 $0.00
J2175 Meperidine hydrochl /100 mg 216 214 $0.00
J2250 Inj midazolam hydrochloride 24 24 $0.00