Hospital
Cherokee Indian Hospital Authority
Cherokee Indian Hospital Authority was paid $86.67M by Medicaid between Mar 2018 and Dec 2024, across 41 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 49% of everything it billed.
33Billing provider infoCHEROKEE INDIAN HOSPITAL AUTHORITY
CHEROKEE, NC 28719
CHEROKEE, NC 28719
33aNPI1770662348assigned 11/03/2006
33bProvider typePsychiatric Hospital
28Total paid$86.67M
24GClaims167,245
24DCodes billed41
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Psychiatric Hospital providers in North Carolina
Rank by total paid#1 of 8
Median peer was paid$192K
This provider vs. median453×
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.
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 | 236 | $31K | |
| 2019 | 14,355 | $4.65M | |
| 2020 | 27,766 | $9.89M | |
| 2021 | 26,667 | $12.03M | |
| 2022 | 29,378 | $16.71M | |
| 2023 | 32,459 | $19.02M | |
| 2024incomplete | 36,384 | $24.34M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 49% | 88,881 | 67,727 | $42.44M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 13% | 18,045 | 1,402 | $11.18M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 7.5% | 11,351 | 10,793 | $6.46M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.8% | 8,712 | 8,006 | $5.05M |
| 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 | 4.7% | 7,414 | 6,796 | $4.09M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.0% | 4,950 | 4,682 | $3.44M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 3.9% | 6,164 | 5,840 | $3.34M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.5% | 3,993 | 1,057 | $2.18M |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 2.2% | 4,216 | 3,580 | $1.91M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,709 | 1,214 | $835K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,706 | 1,205 | $732K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 973 | 898 | $574K |
29 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 1,273 | $560K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 709 | $433K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 934 | $423K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 611 | $385K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 686 | $385K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 725 | $361K |
| H2035 | Alcohol and/or other drug treatment program, per hour | <1% | 391 | $271K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 496 | $252K |
| 80305 | <1% | 477 | $242K | |
| 99443 | <1% | 487 | $225K | |
| 99442 | <1% | 458 | $219K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 558 | $184K |
| 98968 | <1% | 268 | $129K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 302 | $120K |
| 98940 | <1% | 88 | $55K | |
| 97802 | <1% | 236 | $54K | |
| 99000 | <1% | 143 | $28K | |
| 80053 | Comprehensive metabolic panel | <1% | 47 | $26K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 30 | $22K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 29 | $19K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 62 | $16K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 24 | $15K |
| 98966 | <1% | 17 | $9K | |
| 99285 | Emergency room visit (most serious) | <1% | 15 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $7K |
| 0012A | <1% | 14 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | $640.00 |
| 94760 | <1% | 12 | $640.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 13 | $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 officialCOOPER, CASEY (HOSPITAL CEO)
| Provider | Location | Paid |
|---|---|---|
| Cherokee Indian Hospital Authority | Cherokee, NC | $516K |
| Cherokee Indian Hospital Authority | Cherokee, NC | $67K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.