KICKAPOO TRIBAL HEALTH CENTER
NPI: 1265518203
· MCLOUD, OK 74851
· Adolescent and Children Mental Health Clinic/Center
· NPI assigned 10/31/2006
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.
$19.87M
Total Medicaid Paid
Provider Details
| Authorized Official | IRION, WAYNE (HEALTH DIRECTOR) |
| NPI Enumeration Date | 10/31/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,653 |
$1.12M |
| 2019 |
2,691 |
$1.21M |
| 2020 |
1,598 |
$760K |
| 2021 |
4,482 |
$2.31M |
| 2022 |
7,673 |
$4.81M |
| 2023 |
8,413 |
$5.31M |
| 2024 |
6,274 |
$4.35M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33,745 |
27,851 |
$19.87M |
| 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 |
39 |
36 |
$1K |