Clinic
Cherokee Nation
Cherokee Nation was paid $6.38M by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 51% of everything it billed.
33Billing provider infoCHEROKEE NATION
TAHLEQUAH, OK 74464
TAHLEQUAH, OK 74464
33aNPI1275799645assigned 08/05/2008
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$6.38M
24GClaims27,872
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Oklahoma
Rank by total paid#8 of 33
Median peer was paid$609K
This provider vs. median10×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JONES, STEPHEN controls 13+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 1,850 | $510K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 51% | 6,468 | 2,380 | $3.28M |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 22% | 2,531 | 2,383 | $1.38M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 16% | 11,145 | 9,409 | $994K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.3% | 2,177 | 2,172 | $144K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.8% | 2,083 | 2,000 | $113K |
| D9999 | Unspecified adjunctive procedure, by report | 1.5% | 94 | 94 | $95K |
| 99460 | 1.3% | 982 | 982 | $85K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.0% | 905 | 381 | $65K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 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) | <1% | 74 | 73 | $45K |
| 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% | 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 | <1% | 144 | 138 | $13K |
18 more codes
| 99223 | Prolong inpt eval add15 m | <1% | 93 | $13K |
| H0031 | Mental health assessment, by non-physician | <1% | 27 | $11K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 13 | $9K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 40 | $9K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 16 | $9K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 128 | $7K |
| 99406 | <1% | 101 | $7K | |
| 99443 | <1% | 14 | $5K | |
| H0032 | Mental health service plan development by non-physician | <1% | 15 | $4K |
| 99462 | <1% | 90 | $3K | |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 12 | $3K |
| 99284 | Emergency room visit (serious) | <1% | 88 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $1K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 13 | $613.01 |
| 71045 | Radiologic examination, chest; single view | <1% | 25 | $20.16 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 14 | $13.72 |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 334 | $0.00 |
| 0002A | 0% | 18 | $0.00 |
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 officialJONES, STEPHEN (EXECUTIVE DIRECTOR, HEALTH SERVICES)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.