Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MODOC TRIBE OF OKLAHOMA

NPI: 1265083380 · WYANDOTTE, OK 74370 · Addiction (Substance Use Disorder) Counselor · NPI assigned 09/20/2019

$2.66M
Total Medicaid Paid
4,327
Total Claims
1,731
Beneficiaries
4
Codes Billed
2021-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMULLIN, JESSICA (EXECUTIVE DIRECTOR)
NPI Enumeration Date09/20/2019

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 3,998 1,535 $2.44M
H2015 Comprehensive community support services, per 15 minutes 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 74 56 $52K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26 24 $19K