Modoc Tribe of Oklahoma

Modoc Tribe of Oklahoma was paid $2.66M by Medicaid between Jan 2021 and Oct 2024, across 4 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 92% of everything it billed.

33Billing provider infoMODOC TRIBE OF OKLAHOMA
WYANDOTTE, OK 74370

33aNPI1265083380assigned 09/20/2019

33bProvider typeAddiction (Substance Use Disorder) Counselor

28Total paid$2.66M

24GClaims4,327

24DCodes billed4

24AFirst – last monthJan 2021 – Oct 2024

Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Oklahoma

Rank by total paid#3 of 24

Median peer was paid$485K

This provider vs. median5.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2021	1,238	$643K
2022	1,780	$1.14M
2023	974	$637K
2024incomplete	335	$241K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0004	Behavioral health counseling and therapy, per 15 minutes	92%	3,998	1,535	$2.44M
H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	5.7%	229	116	$151K
G2077	Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code	2.0%	74	56	$52K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	26	24	$19K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMULLIN, JESSICA (EXECUTIVE DIRECTOR)