Choctaw Nation of Oklahoma
General Acute Care Hospital Rural
Talihina, Oklahoma
NPI: 1659347623
Risk Tier
Elevated
Total Paid
$83.5M
$83,498,531
Total Claims
156K
Beneficiaries
136K
Avg Cost/Claim
$534.27
Statistical Fraud Flags (1)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $544.15 per claim for 99212 (Office/outpatient visit, low complexity), which is 21.7× 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