Is CREOKS MENTAL HEALTH SERVICES flagged for Medicaid fraud?

CREOKS MENTAL HEALTH SERVICES (NPI: 1912120452) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does CREOKS MENTAL HEALTH SERVICES bill Medicaid?

CREOKS MENTAL HEALTH SERVICES 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 SAPULPA, OK.

What is NPI 1912120452?

NPI 1912120452 is the National Provider Identifier for CREOKS MENTAL HEALTH SERVICES. They are a Community/Behavioral Health provider based in SAPULPA, OK. This NPI is registered with the CMS NPI Registry.

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CREOKS MENTAL HEALTH SERVICES

Community/Behavioral Health·SAPULPA, OK·NPI: 1912120452Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $31.2M is at the 25th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$31.2M

$31,206,249

Total Claims

90K

Beneficiaries

74K

1.2 claims/patient

Avg Cost/Claim

$348

Monthly Spending Trend

Yearly Spending

2018

$2.5M

-21%

2019

$1.9M

+53%

2020

$3.0M

+38%

2021

$4.1M

+43%

2022

$5.8M

+38%

2023

$8.1M

-27%

2024

$5.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (T1041 (Medicaid CCBHC services, per diem)) accounts for 88% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1041Medicaid CCBHC services, per diemSee all providers →

$27.5M

35K claims

$783.38

$913.47

0.9×

Normal range

T1041Normal range

Medicaid CCBHC services, per diem

$27.5M

35K claims · 88.2%

Your Cost: $783.38/claim|Median: $913.47

0.9× median

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

$1.3M

36K claims

$36.89

$74.63

0.5×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.3M

36K claims · 4.3%

Your Cost: $36.89/claim|Median: $74.63

0.5× median

G9002Coordinated care fee, maintenance periodSee all providers →

$555K

3,826 claims

$145.03

$108.80

1.3×

Normal range

G9002Normal range

Coordinated care fee, maintenance period

$555K

3,826 claims · 1.8%

Your Cost: $145.03/claim|Median: $108.80

1.3× median

G9009 See all providers →

$538K

1,559 claims

$344.91

$345.34

1.0×

Normal range

G9009Normal range

$538K

1,559 claims · 1.7%

Your Cost: $344.91/claim|Median: $345.34

1.0× median

G9010 See all providers →

$523K

518 claims

$1,009.60

1.0×

Top 1%

G9010Top 1%

$523K

518 claims · 1.7%

Your Cost: $1,009.60/claim|Median: $1,009.60

1.0× median

S9484Crisis intervention mental health services, per hourSee all providers →

$357K

153 claims

$2,332.62

$249.51

9.3×

Top 10%

S9484Top 10%

Crisis intervention mental health services, per hour

$357K

153 claims · 1.1%

Your Cost: $2,332.62/claim|Median: $249.51

9.3× median

G9005Coordinated care fee, risk-adjusted, ESRDSee all providers →

$119K

264 claims

$452.05

$47.08

9.6×

Top 10%

G9005Top 10%

Coordinated care fee, risk-adjusted, ESRD

$119K

264 claims · 0.4%

Your Cost: $452.05/claim|Median: $47.08

9.6× median

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

$98K

3,127 claims

$31.31

$37.81

0.8×

Normal range

99213Normal range

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

$98K

3,127 claims · 0.3%

Your Cost: $31.31/claim|Median: $37.81

0.8× median

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

$48K

1,229 claims

$38.94

$91.63

0.4×

Normal range

H2017Normal range

Psychosocial rehabilitation services, per 15 min

$48K

1,229 claims · 0.2%

Your Cost: $38.94/claim|Median: $91.63

0.4× median

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

$42K

600 claims

$70.60

$53.41

1.3×

Normal range

99214Normal range

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

$42K

600 claims · 0.1%

Your Cost: $70.60/claim|Median: $53.41

1.3× median

S9485Crisis intervention mental health services, per diemSee all providers →

$25K

120 claims

$208.32

$501.33

0.4×

Normal range

S9485Normal range

Crisis intervention mental health services, per diem

$25K

120 claims · 0.1%

Your Cost: $208.32/claim|Median: $501.33

0.4× median

H2019Therapeutic behavioral services, per 15 minSee all providers →

$20K

3,031 claims

$6.71

$84.12

0.1×

Normal range

H2019Normal range

Therapeutic behavioral services, per 15 min

$20K

3,031 claims · 0.1%

Your Cost: $6.71/claim|Median: $84.12

0.1× median

H0031Mental health assessment by non-physicianSee all providers →

$12K

300 claims

$39.20

$96.18

0.4×

Normal range

H0031Normal range

Mental health assessment by non-physician

$12K

300 claims · 0.0%

Your Cost: $39.20/claim|Median: $96.18

0.4× median

H0032Mental health service plan developmentSee all providers →

$7K

371 claims

$19.20

$80.64

0.2×

Normal range

H0032Normal range

Mental health service plan development

$7K

371 claims · 0.0%

Your Cost: $19.20/claim|Median: $80.64

0.2× median

H0034Medication training and management, per 15 minSee all providers →

$2K

109 claims

$14.72

$56.90

0.3×

Normal range

H0034Normal range

Medication training and management, per 15 min

$2K

109 claims · 0.0%

Your Cost: $14.72/claim|Median: $56.90

0.3× median

H2015Comprehensive community support services, per 15 minSee all providers →

$1K

734 claims

$1.93

$96.24

0.0×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$1K

734 claims · 0.0%

Your Cost: $1.93/claim|Median: $96.24

0.0× median

H0002Behavioral health screeningSee all providers →

$934

37 claims

$25.24

$38.77

0.7×

Normal range

H0002Normal range

Behavioral health screening

$934

37 claims · 0.0%

Your Cost: $25.24/claim|Median: $38.77

0.7× median

T1016Case management, each 15 minSee all providers →

152 claims

$0.00

$49.62

0.0×

Normal range

T1016Normal range

Case management, each 15 min

152 claims · 0.0%

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

0.0× median

T1027Family training and counseling, per 15 minutesSee all providers →

2,098 claims

$0.00

$53.00

—

Normal range

T1027Normal range

Family training and counseling, per 15 minutes

2,098 claims · 0.0%

Your Cost: $0.00/claim|Median: $53.00

1111F See all providers →

17 claims

$0.00

$0.08

—

Normal range

1111FNormal range

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08

T1012Alcohol/drug services, skills developmentSee all providers →

23 claims

$0.00

$40.78

—

Normal range

T1012Normal range

Alcohol/drug services, skills development

23 claims · 0.0%

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

T1023Screening to determine appropriateness of consideration for programSee all providers →

27 claims

$0.00

$106.70

—

Normal range

T1023Normal range

Screening to determine appropriateness of consideration for program

27 claims · 0.0%

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

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