Chickasaw Nation Division of Health
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $554.32 per claim for 99212 (Office/outpatient visit, low complexity), which is 22.1× the national median of $25.06.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $554.32 per claim for 99212 (Office/outpatient visit, low complexity) — 22.1× the national median of $25.06.
Bills $414.40 per claim for 99213 (Office/outpatient visit, est. patient, low-mod complexity) — 11.0× the national median of $37.81.
Bills $434.32 per claim for 99214 (Office/outpatient visit, est. patient, mod-high complexity) — 8.1× the national median of $53.41.
Billing in the top 1% nationally for 5 procedure codes: 99212, 99213, 99214.
This is a statistical summary, not an accusation. See our methodology.
Compared to General Acute Care Hospital Peers
Total spending distribution among 156 providers in this specialty
This provider's total spending of $161.9M is at the 25th percentile among 156 General Acute Care Hospital providers.
Total Paid
$161.9M
$161,907,573
Total Claims
294K
Beneficiaries
266K
1.1 claims/patient
Avg Cost/Claim
$551
#634 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
Chickasaw Nation Division of Health is a General Acute Care Hospital provider based in Ada, OK. From the 2018–2024 period, this provider received $161.9M in Medicaid payments across 294K claims.
Why This Matters
This provider received $161.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 20,238 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 14 distinct procedure codes. The top code (99212 (Office/outpatient visit, low complexity)) accounts for 100% of total spending.
$161.4M
291K claims
$554.32
$25.06
Office/outpatient visit, low complexity
$161.4M
291K claims · 99.7%
$178K
430 claims
$414.40
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$178K
430 claims · 0.1%
$165K
381 claims
$434.32
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$165K
381 claims · 0.1%
Psychotherapy, 30 minutes
$97K
226 claims · 0.1%
$41K
473 claims
$86.84
$12.93
Office/outpatient visit, minimal complexity
$41K
473 claims · 0.0%
$22K
520 claims
$42.16
$9.80
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
$22K
520 claims · 0.0%
$7K
56 claims
$120.87
$39.70
COVID-19 SARS-CoV-2 amplified probe detection
$7K
56 claims · 0.0%
Hospital outpatient clinic visit
$5K
44 claims · 0.0%
$2
186 claims
$0.01
$7.18
Influenza virus vaccine, quadrivalent, preservative-free, IM
$2
186 claims · 0.0%
DTaP-IPV vaccine
$0
13 claims · 0.0%
MMRV vaccine
$0
27 claims · 0.0%
$0
16 claims · 0.0%
$0
232 claims
$0.00
$11.79
Immunization administration, each additional vaccine
$0
232 claims · 0.0%
$0
13 claims · 0.0%
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