CITIZEN POTAWATOMI NATION
NPI: 1881981744
· SHAWNEE, OK 74804
· Federally Qualified Health Center (FQHC)
· NPI assigned 06/29/2011
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code 99212 with only 3 total codes billed. Highly concentrated billing profile.
$8.60M
Total Medicaid Paid
Provider Details
| Authorized Official | SKILLINGS, CHRIS (DIRECTOR OF HEALTH SERVICES) |
| NPI Enumeration Date | 06/29/2011 |
Related Entities
Other providers sharing the same authorized official: SKILLINGS, CHRIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,491 |
$623K |
| 2019 |
1,424 |
$644K |
| 2020 |
1,383 |
$616K |
| 2021 |
2,371 |
$1.21M |
| 2022 |
2,894 |
$1.83M |
| 2023 |
3,365 |
$2.16M |
| 2024 |
2,116 |
$1.51M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,916 |
12,834 |
$8.60M |
| 99441 |
|
115 |
110 |
$3K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
13 |
12 |
$994.80 |