Clinic
Modoc Nation Behavioral Health
Modoc Nation Behavioral Health was paid $6.50M by Medicaid between Dec 2020 and Dec 2024, across 3 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 100% of everything it billed.
33Billing provider infoMODOC NATION BEHAVIORAL HEALTH
MIAMI, OK 74354
MIAMI, OK 74354
33aNPI1821636358assigned 12/16/2019
33bProvider typeAdolescent and Children Mental Health Clinic/Center
28Total paid$6.50M
24GClaims9,929
24DCodes billed3
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Adolescent and Children Mental Health Clinic/Center providers in Oklahoma
Rank by total paid#2 of 9
Median peer was paid$1.11M
This provider vs. median5.9×
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.
Single-Code Concentration100% of spending on code H0004 with only 3 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2020 | 30 | $14K | |
| 2021 | 1,079 | $560K | |
| 2022 | 2,645 | $1.69M | |
| 2023 | 3,192 | $2.09M | |
| 2024incomplete | 2,983 | $2.14M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 100% | 9,893 | 3,829 | $6.47M |
| H0031 | Mental health assessment, by non-physician | <1% | 24 | 24 | $16K |
| H0032 | Mental health service plan development by non-physician | <1% | 12 | 12 | $8K |
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 officialARMSTRONG, TERESA (BILLING MANAGER)