CHEROKEE NATION HOME HEALTH OUTREACH
NPI: 1710985080
· TAHLEQUAH, OK 74464
· Durable Medical Equipment & Medical Supplies
· NPI assigned 07/12/2005
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code T1016 with only 3 total codes billed. Highly concentrated billing profile.
$7.34M
Total Medicaid Paid
Provider Details
| Authorized Official | MOORE, APRIL (CEO) |
| NPI Enumeration Date | 07/12/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17,867 |
$615K |
| 2019 |
18,776 |
$867K |
| 2020 |
20,989 |
$1.08M |
| 2021 |
20,103 |
$1.13M |
| 2022 |
18,758 |
$1.04M |
| 2023 |
14,330 |
$1.16M |
| 2024 |
13,794 |
$1.45M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
121,007 |
29,371 |
$7.08M |
| T1002 |
Rn services, up to 15 minutes |
3,554 |
3,543 |
$253K |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
56 |
46 |
$2K |