Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHEROKEE NATION

NPI: 1841207156 · MUSKOGEE, OK 74403 · Multi-Specialty Clinic/Center · NPI assigned 08/01/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JONES, STEPHEN controls 13+ related entities in our dataset. Read more

$609K
Total Medicaid Paid
2,469
Total Claims
1,871
Beneficiaries
13
Codes Billed
2019-04
First Month
2024-04
Last Month

Provider Details

Authorized OfficialJONES, STEPHEN (EXECUTIVE DIRECTOR, HEALTH SERVICES)
NPI Enumeration Date08/01/2006

Related Entities

Other providers sharing the same authorized official: JONES, STEPHEN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 17 $325.09
2020 79 $11K
2021 1,171 $160K
2022 910 $288K
2023 274 $136K
2024 18 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 498 334 $266K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 512 373 $143K
99406 356 259 $93K
80348 201 154 $47K
80349 53 43 $19K
H0032 Mental health service plan development by non-physician 28 28 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 650 535 $17K
36415 Collection of venous blood by venipuncture 12 12 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $194.98
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33 30 $128.83
99215 Prolong outpt/office vis 60 51 $0.00
96127 15 14 $0.00
80324 38 25 $0.00