Medicaid Provider Spending

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

NPI: 1700950201 · WOODWARD, OK 73801 · Substance Abuse Rehabilitation Facility · NPI assigned 11/17/2006

$708K
Total Medicaid Paid
741
Total Claims
260
Beneficiaries
1
Codes Billed
2021-07
First Month
2022-12
Last Month

Provider Details

Authorized OfficialNICKELSON, AUTUMN (EXECUTIVE DIRECTOR)
NPI Enumeration Date11/17/2006

Related Entities

Other providers sharing the same authorized official: NICKELSON, AUTUMN

ProviderCityStateTotal Paid
STATE OF OKLAHOMA WOODWARD OK $2.65M
STATE OF OKLAHOMA TULSA OK $1.18M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 584 $208K
2022 157 $499K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 741 260 $708K