Is COOK INLET TRIBAL COUNCIL, INC flagged for Medicaid fraud?

COOK INLET TRIBAL COUNCIL, INC (NPI: 1437273000) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does COOK INLET TRIBAL COUNCIL, INC bill Medicaid?

COOK INLET TRIBAL COUNCIL, INC 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 ANCHORAGE, AK.

What is NPI 1437273000?

NPI 1437273000 is the National Provider Identifier for COOK INLET TRIBAL COUNCIL, INC. They are a Community/Behavioral Health provider based in ANCHORAGE, AK. This NPI is registered with the CMS NPI Registry.

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COOK INLET TRIBAL COUNCIL, INC

Community/Behavioral Health·ANCHORAGE, AK·NPI: 1437273000Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.3M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-09(81 months)

Total Paid

$24.3M

$24,311,504

Total Claims

42K

Beneficiaries

11K

4.0 claims/patient

Avg Cost/Claim

$582

Monthly Spending Trend

Yearly Spending

2018

$4.0M

+25%

2019

$5.0M

-41%

2020

$2.9M

-35%

2021

$1.9M

+26%

2022

$2.4M

+56%

2023

$3.7M

+17%

2024

$4.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 28% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2015Comprehensive community support services, per 15 minSee all providers →

$6.8M

13K claims

$522.74

$96.24

5.4×

Top 5%

H2015Top 5%

Comprehensive community support services, per 15 min

$6.8M

13K claims · 27.9%

Your Cost: $522.74/claim|Median: $96.24

5.4× median

H0047Alcohol and/or drug abuse, not otherwise specifiedSee all providers →

$6.5M

10K claims

$640.65

$81.37

7.9×

Top 5%

H0047Top 5%

Alcohol and/or drug abuse, not otherwise specified

$6.5M

10K claims · 26.9%

Your Cost: $640.65/claim|Median: $81.37

7.9× median

H0015Alcohol and/or drug abuse, intensive outpatient, per hourSee all providers →

$3.4M

4,791 claims

$710.78

$129.75

5.5×

Top 5%

H0015Top 5%

Alcohol and/or drug abuse, intensive outpatient, per hour

$3.4M

4,791 claims · 14.0%

Your Cost: $710.78/claim|Median: $129.75

5.5× median

H0007 See all providers →

$1.7M

2,524 claims

$689.04

$71.08

9.7×

Top 25%

H0007Top 25%

$1.7M

2,524 claims · 7.2%

Your Cost: $689.04/claim|Median: $71.08

9.7× median

H2036Alcohol/drug treatment, per hourSee all providers →

$1.7M

2,193 claims

$756.40

$253.79

3.0×

Top 25%

H2036Top 25%

Alcohol/drug treatment, per hour

$1.7M

2,193 claims · 6.8%

Your Cost: $756.40/claim|Median: $253.79

3.0× median

T1016Case management, each 15 minSee all providers →

$1.4M

3,145 claims

$457.11

$49.62

9.2×

Top 5%

T1016Top 5%

Case management, each 15 min

$1.4M

3,145 claims · 5.9%

Your Cost: $457.11/claim|Median: $49.62

9.2× median

T1023Screening to determine appropriateness of consideration for programSee all providers →

$1.1M

1,717 claims

$625.25

$106.70

5.9×

Top 5%

T1023Top 5%

Screening to determine appropriateness of consideration for program

$1.1M

1,717 claims · 4.4%

Your Cost: $625.25/claim|Median: $106.70

5.9× median

H0001Alcohol and/or drug assessmentSee all providers →

$716K

1,414 claims

$506.43

$94.22

5.4×

Top 1%

H0001Top 1%

Alcohol and/or drug assessment

$716K

1,414 claims · 2.9%

Your Cost: $506.43/claim|Median: $94.22

5.4× median

H0023Behavioral health outreach service, per 15 minutesSee all providers →

$535K

1,025 claims

$522.20

$53.97

9.7×

Top 5%

H0023Top 5%

Behavioral health outreach service, per 15 minutes

$535K

1,025 claims · 2.2%

Your Cost: $522.20/claim|Median: $53.97

9.7× median

H2021Community-based wrap-around services, per 15 minSee all providers →

$242K

645 claims

$375.04

$169.11

2.2×

Top 25%

H2021Top 25%

Community-based wrap-around services, per 15 min

$242K

645 claims · 1.0%

Your Cost: $375.04/claim|Median: $169.11

2.2× median

H0046Mental health services, not otherwise specifiedSee all providers →

$195K

1,147 claims

$169.99

$85.02

2.0×

Normal range

H0046Normal range

Mental health services, not otherwise specified

$195K

1,147 claims · 0.8%

Your Cost: $169.99/claim|Median: $85.02

2.0× median

T1007Alcohol/drug services, treatment plan reviewSee all providers →

$6K

14 claims

$454.29

$64.10

7.1×

Top 5%

T1007Top 5%

Alcohol/drug services, treatment plan review

$6K

14 claims · 0.0%

Your Cost: $454.29/claim|Median: $64.10

7.1× median

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