Is STATE OF OKLAHOMA DEPARTMENT OF HUMAN SERVICES flagged for Medicaid fraud?

STATE OF OKLAHOMA DEPARTMENT OF HUMAN SERVICES (NPI: 1720217946) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

What is NPI 1720217946?

NPI 1720217946 is the National Provider Identifier for STATE OF OKLAHOMA DEPARTMENT OF HUMAN SERVICES. They are a Case Management provider based in OKLAHOMA CITY, OK. This NPI is registered with the CMS NPI Registry.

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STATE OF OKLAHOMA DEPARTMENT OF HUMAN SERVICES

Case Management·OKLAHOMA CITY, OK·NPI: 1720217946Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.7M is at the below 25th percentile among 137 Case Management providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$21.7M

$21,686,017

Total Claims

202K

Beneficiaries

18K

11.3 claims/patient

Avg Cost/Claim

$107

Monthly Spending Trend

Yearly Spending

2018

$1.1M

+1%

2019

$1.1M

+4%

2020

$1.1M

+48%

2021

$1.7M

+46%

2022

$2.4M

+99%

2023

$4.8M

+95%

2024

$9.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (T2017 (Habilitation, residential, waiver; 15 min)) accounts for 92% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2017Habilitation, residential, waiver; 15 minSee all providers →

$19.9M

195K claims

$102.27

$137.32

0.7×

Normal range

T2017Normal range

Habilitation, residential, waiver; 15 min

$19.9M

195K claims · 92.0%

Your Cost: $102.27/claim|Median: $137.32

0.7× median

T2025Waiver services, NOS; per 15 minSee all providers →

$1.2M

2,076 claims

$565.48

$124.39

4.5×

Top 25%

T2025Top 25%

Waiver services, NOS; per 15 min

$1.2M

2,076 claims · 5.4%

Your Cost: $565.48/claim|Median: $124.39

4.5× median

T1999Miscellaneous therapeutic items and suppliesSee all providers →

$199K

1,504 claims

$132.59

$28.63

4.6×

Normal range

T1999Normal range

Miscellaneous therapeutic items and supplies

$199K

1,504 claims · 0.9%

Your Cost: $132.59/claim|Median: $28.63

4.6× median

S9451 See all providers →

$178K

2,755 claims

$64.64

$0.35

184.7×

Top 5%

S9451Top 5%

$178K

2,755 claims · 0.8%

Your Cost: $64.64/claim|Median: $0.35

184.7× median

T2036Therapeutic camping, waiver, per diemSee all providers →

$141K

224 claims

$629.70

$413.93

1.5×

Top 25%

T2036Top 25%

Therapeutic camping, waiver, per diem

$141K

224 claims · 0.7%

Your Cost: $629.70/claim|Median: $413.93

1.5× median

T2037 See all providers →

$34K

97 claims

$349.95

$304.73

1.1×

Normal range

T2037Normal range

$34K

97 claims · 0.2%

Your Cost: $349.95/claim|Median: $304.73

1.1× median

A9270 See all providers →

$13K

538 claims

$24.44

$0.20

122.2×

Top 5%

A9270Top 5%

$13K

538 claims · 0.1%

Your Cost: $24.44/claim|Median: $0.20

122.2× median

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