MODOC NATION BEHAVIORAL HEALTH
NPI: 1821636358
· MIAMI, OK 74354
· Adolescent and Children Mental Health Clinic/Center
· NPI assigned 12/16/2019
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H0004 with only 3 total codes billed. Highly concentrated billing profile.
$6.50M
Total Medicaid Paid
Provider Details
| Authorized Official | ARMSTRONG, TERESA (BILLING MANAGER) |
| NPI Enumeration Date | 12/16/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
30 |
$14K |
| 2021 |
1,079 |
$560K |
| 2022 |
2,645 |
$1.69M |
| 2023 |
3,192 |
$2.09M |
| 2024 |
2,983 |
$2.14M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
9,893 |
3,829 |
$6.47M |
| H0031 |
Mental health assessment, by non-physician |
24 |
24 |
$16K |
| H0032 |
Mental health service plan development by non-physician |
12 |
12 |
$8K |