MODOC TRIBE OF OKLAHOMA
NPI: 1265083380
· WYANDOTTE, OK 74370
· 101YA0400X
$2.66M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,238 |
$643K |
| 2022 |
1,780 |
$1.14M |
| 2023 |
974 |
$637K |
| 2024 |
335 |
$241K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
3,998 |
1,535 |
$2.44M |
| H2015 |
Comp comm supp svc, 15 min |
229 |
116 |
$151K |
| G2077 |
Periodic assessment |
74 |
56 |
$52K |
| 99213 |
|
26 |
24 |
$19K |