Medicaid Provider Spending

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

CHEROKEE NATION

NPI: 1275799645 · TAHLEQUAH, OK 74464 · Multi-Specialty Clinic/Center · NPI assigned 08/05/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JONES, STEPHEN controls 13+ related entities in our dataset. Read more

$6.38M
Total Medicaid Paid
27,872
Total Claims
21,121
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJONES, STEPHEN (EXECUTIVE DIRECTOR, HEALTH SERVICES)
NPI Enumeration Date08/05/2008

Related Entities

Other providers sharing the same authorized official: JONES, STEPHEN

ProviderCityStateTotal Paid
CHCA CLEAR LAKE LP WEBSTER TX $17.46M
NORFOLK CITY PUBLIC SCHOOLS NORFOLK VA $5.77M
LOUISIANA ACADEMIC HEALTH NETWORK, LLC NEW ORLEANS LA $2.79M
BLUE RIDGE HOSPICE INC. WINCHESTER VA $1.58M
CHEROKEE NATION MUSKOGEE OK $609K
CARVER COMMUNITY CLINIC, LLC NEW ORLEANS LA $475K
CHEROKEE NATION VINITA OK $434K
CHEROKEE NATION OCHELATA OK $330K
CHEROKEE NATION STILWELL OK $177K
CHEROKEE NATION SALINA OK $119K
CHEROKEE NATION JAY OK $103K
CHEROKEE NATION NOWATA OK $35K
CHEROKEE NATION SALLISAW OK $35K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,808 $403K
2019 5,111 $1.23M
2020 3,464 $408K
2021 4,691 $845K
2022 5,261 $1.72M
2023 3,687 $1.26M
2024 1,850 $510K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 6,468 2,380 $3.28M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,531 2,383 $1.38M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,145 9,409 $994K
99238 Hospital discharge day management, 30 minutes or less 2,177 2,172 $144K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,083 2,000 $113K
D9999 Unspecified adjunctive procedure, by report 94 94 $95K
99460 982 982 $85K
99233 Prolong inpt eval add15 m 905 381 $65K
H2011 Crisis intervention service, per 15 minutes 95 86 $61K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 74 73 $45K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 121 121 $27K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 144 138 $13K
99223 Prolong inpt eval add15 m 93 93 $13K
H0031 Mental health assessment, by non-physician 27 27 $11K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 13 13 $9K
90792 Psychiatric diagnostic evaluation with medical services 40 40 $9K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 16 15 $9K
99215 Prolong outpt/office vis 128 127 $7K
99406 101 85 $7K
99443 14 14 $5K
H0032 Mental health service plan development by non-physician 15 15 $4K
99462 90 76 $3K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 12 12 $3K
99284 Emergency department visit for the evaluation and management, high severity 88 85 $1K
99222 Initial hospital care, per day, moderate complexity 12 12 $1K
99239 Hospital discharge day management, more than 30 minutes 13 13 $613.01
71045 Radiologic examination, chest; single view 25 25 $20.16
71046 Radiologic examination, chest; 2 views 14 14 $13.72
T1015 Clinic visit/encounter, all-inclusive 334 218 $0.00
0002A 18 18 $0.00