Against 23 peers — similar data coverage. Comparing to a named peer set rather than a 51-state average.
Spending per member/month
$821
−20.0% vs peer median
19th highest of 24 similar states
CMS-64 total ÷ CMS enrollment
Total Medicaid spending
$9,039,451,464
28th highest of 51 states
CMS-64 Total Net, FY2024
Medicaid enrollment
898,649
26th highest of 51 states
Most recent CMS monthly report
Visible in claims
19.5%
−6.9% vs peer median
14th highest of 24 similar states
Share of program these claims see
Published figures are FY2024 CMS-64 and CMS enrollment. Claims figures cover 2018–2024.
Public-record research has been run on 38 flagged Oklahoma providers, including 8 seeded from the state's enforcement record. Five referrals rest on Oklahoma Attorney General false-claims settlements and suits and one Medicaid fraud conviction; the July 1, 2021 Medicaid expansion and CCBHC bundled payments explain most growth flags. Methodology
CMS T-MSIS data, 2018-2024
Concourse Sentinel connects to large-scale healthcare billing datasets — including CMS T-MSIS claims, provider enrollment (PECOS), and federal exclusion lists — and runs millions of automated statistical analyses to surface billing anomalies and areas warranting further review.
$9.5B
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ $1.4B / year
117.1M
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ 17.1M / year
5.9K
Distinct billing NPIs, Jan 2018 – Oct 2024
657
80 highest/critical risk
Current (as of latest ETL)
| Code | Description | Total Paid | Claims |
|---|---|---|---|
| T1041 | Comm bh clinic svc per month | $803.8M | 912.3K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | $720.5M | 11.1M |
| T1015 | Clinic service | $634.9M | 2.9M |
| 99212 | Office o/p est sf 10 min | $622.9M | 1.4M |
| 99214 | Office o/p est mod 30 min | $520.7M | 5.5M |
| 99213 | Office o/p est low 20 min | $451.2M | 6.8M |
| G9012 | Other specified case mgmt | $426.0M | 1.4M |
| T1016 | Case management | $320.1M | 5.2M |
| 99284 | Emergency dept visit mod mdm | $286.9M | 1.7M |
| 99283 | Emergency dept visit low mdm | $280.7M | 2.2M |