Chickasaw Nation Division of Health
General Acute Care Hospital
Ada, Oklahoma
NPI: 1255364923
Risk Tier
Elevated
Total Paid
$161.9M
$161,907,573
Total Claims
294K
Beneficiaries
266K
Avg Cost/Claim
$551.14
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (1)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $554.32 per claim for 99212 (Office/outpatient visit, low complexity), which is 22.1× the national median of $25.06.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024