CITIZEN POTAWATOMI NATION
NPI: 1194752949
· SHAWNEE, OK 74801
· Federally Qualified Health Center (FQHC)
· NPI assigned 06/27/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code 99212 with only 2 total codes billed. Highly concentrated billing profile.
$15.70M
Total Medicaid Paid
Provider Details
| Authorized Official | SKILLINGS, CHRIS (DIRECTOR OF HEALTH SERVICES) |
| NPI Enumeration Date | 06/27/2006 |
Related Entities
Other providers sharing the same authorized official: SKILLINGS, CHRIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,596 |
$596K |
| 2019 |
1,613 |
$673K |
| 2020 |
1,423 |
$659K |
| 2021 |
3,260 |
$1.68M |
| 2022 |
6,728 |
$4.24M |
| 2023 |
7,402 |
$4.68M |
| 2024 |
4,521 |
$3.17M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26,140 |
22,070 |
$15.67M |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
403 |
362 |
$32K |