Is OKLAHOMA MENTAL HEALTH COUNCIL flagged for Medicaid fraud?

OKLAHOMA MENTAL HEALTH COUNCIL (NPI: 1245445337) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does OKLAHOMA MENTAL HEALTH COUNCIL bill Medicaid?

OKLAHOMA MENTAL HEALTH COUNCIL received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in OKLAHOMA CITY, OK.

What is NPI 1245445337?

NPI 1245445337 is the National Provider Identifier for OKLAHOMA MENTAL HEALTH COUNCIL. They are a Community/Behavioral Health provider based in OKLAHOMA CITY, OK. This NPI is registered with the CMS NPI Registry.

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OKLAHOMA MENTAL HEALTH COUNCIL

Community/Behavioral Health·OKLAHOMA CITY, OK·NPI: 1245445337Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $38.4M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$38.4M

$38,417,766

Total Claims

100K

Beneficiaries

87K

1.2 claims/patient

Avg Cost/Claim

$385

Monthly Spending Trend

Yearly Spending

2018

$2.8M

-18%

2019

$2.3M

+13%

2020

$2.6M

+75%

2021

$4.6M

+103%

2022

$9.3M

+14%

2023

$10.6M

-42%

2024

$6.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (T1041 (Medicaid CCBHC services, per diem)) accounts for 99% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1041Medicaid CCBHC services, per diemSee all providers →

$38.2M

52K claims

$730.41

$913.47

0.8×

Normal range

T1041Normal range

Medicaid CCBHC services, per diem

$38.2M

52K claims · 99.3%

Your Cost: $730.41/claim|Median: $913.47

0.8× median

G9002Coordinated care fee, maintenance periodSee all providers →

$259K

2,058 claims

$125.91

$108.80

1.2×

Normal range

G9002Normal range

Coordinated care fee, maintenance period

$259K

2,058 claims · 0.7%

Your Cost: $125.91/claim|Median: $108.80

1.2× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$335

2,281 claims

$0.15

$53.41

0.0×

Normal range

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$335

2,281 claims · 0.0%

Your Cost: $0.15/claim|Median: $53.41

0.0× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$191

6,031 claims

$0.03

$37.81

0.0×

Normal range

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$191

6,031 claims · 0.0%

Your Cost: $0.03/claim|Median: $37.81

0.0× median

99212Office/outpatient visit, low complexitySee all providers →

2,194 claims

$0.00

$25.06

0.0×

Normal range

99212Normal range

Office/outpatient visit, low complexity

2,194 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.06

0.0× median

G8417 See all providers →

101 claims

$0.00

$0.06

—

Normal range

G8417Normal range

101 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06

T1023Screening to determine appropriateness of consideration for programSee all providers →

2,097 claims

$0.00

$106.70

—

Normal range

T1023Normal range

Screening to determine appropriateness of consideration for program

2,097 claims · 0.0%

Your Cost: $0.00/claim|Median: $106.70

H2011Crisis intervention service, per 15 minutesSee all providers →

375 claims

$0.00

$215.80

—

Normal range

H2011Normal range

Crisis intervention service, per 15 minutes

375 claims · 0.0%

Your Cost: $0.00/claim|Median: $215.80

G8431 See all providers →

13 claims

$0.00

$2.37

—

Normal range

G8431Normal range

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.37

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

14K claims

$0.00

$74.63

—

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

14K claims · 0.0%

Your Cost: $0.00/claim|Median: $74.63

T1012Alcohol/drug services, skills developmentSee all providers →

28 claims

$0.00

$40.78

—

Normal range

T1012Normal range

Alcohol/drug services, skills development

28 claims · 0.0%

Your Cost: $0.00/claim|Median: $40.78

H0031Mental health assessment by non-physicianSee all providers →

342 claims

$0.00

$96.18

—

Normal range

H0031Normal range

Mental health assessment by non-physician

342 claims · 0.0%

Your Cost: $0.00/claim|Median: $96.18

H2015Comprehensive community support services, per 15 minSee all providers →

16K claims

$0.00

$96.24

—

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

16K claims · 0.0%

Your Cost: $0.00/claim|Median: $96.24

H0032Mental health service plan developmentSee all providers →

400 claims

$0.00

$80.64

—

Normal range

H0032Normal range

Mental health service plan development

400 claims · 0.0%

Your Cost: $0.00/claim|Median: $80.64

T1016Case management, each 15 minSee all providers →

12 claims

$0.00

$49.62

—

Normal range

T1016Normal range

Case management, each 15 min

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $49.62

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

129 claims

$0.00

$108.91

—

Normal range

90792Normal range

Psychiatric diagnostic evaluation with medical services

129 claims · 0.0%

Your Cost: $0.00/claim|Median: $108.91

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

564 claims

$0.00

$91.63

—

Normal range

H2017Normal range

Psychosocial rehabilitation services, per 15 min

564 claims · 0.0%

Your Cost: $0.00/claim|Median: $91.63

H0002Behavioral health screeningSee all providers →

1,324 claims

$0.00

$38.77

—

Normal range

H0002Normal range

Behavioral health screening

1,324 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.77

99202Office/outpatient visit, new patient, low complexitySee all providers →

12 claims

$0.00

$40.11

—

Normal range

99202Normal range

Office/outpatient visit, new patient, low complexity

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $40.11

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