Cherokee Nation
Cherokee Nation was paid $609K by Medicaid between Apr 2019 and Apr 2024, across 13 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 44% of everything it billed.
MUSKOGEE, OK 74403
Next to other Multi-Specialty Clinic/Center providers in Oklahoma
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 17 | $325.09 | |
| 2020 | 79 | $11K | |
| 2021 | 1,171 | $160K | |
| 2022 | 910 | $288K | |
| 2023 | 274 | $136K | |
| 2024incomplete | 18 | $13K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 44% | 498 | 334 | $266K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 24% | 512 | 373 | $143K |
| 99406 | 15% | 356 | 259 | $93K | |
| 80348 | 7.7% | 201 | 154 | $47K | |
| 80349 | 3.1% | 53 | 43 | $19K | |
| H0032 | Mental health service plan development by non-physician | 2.8% | 28 | 28 | $17K |
| 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 | 2.8% | 650 | 535 | $17K |
| 36415 | Collection of venous blood by venipuncture | <1% | 12 | 12 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | 13 | $194.98 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 33 | 30 | $128.83 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 60 | 51 | $0.00 |
| 96127 | 0% | 15 | 14 | $0.00 |
1 more codes
| 80324 | 0% | 38 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Chca Clear Lake LP | Webster, TX | $17.46M |
| Cherokee Nation | Tahlequah, OK | $6.38M |
| Norfolk City Public Schools | Norfolk, VA | $5.77M |
| Louisiana Academic Health Network, LLC | New Orleans, LA | $2.79M |
| Blue Ridge Hospice INC. | Winchester, VA | $1.58M |
| Carver Community Clinic, LLC | New Orleans, LA | $475K |
| Cherokee Nation | Vinita, OK | $434K |
| Cherokee Nation | Ochelata, OK | $330K |
| Cherokee Nation | Stilwell, OK | $177K |
| Cherokee Nation | Salina, OK | $119K |
| Cherokee Nation | Jay, OK | $103K |
| Cherokee Nation | Nowata, OK | $35K |
| Cherokee Nation | Sallisaw, OK | $35K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.