Clinic
Seneca Nation of Indians
Seneca Nation of Indians was paid $5.46M by Medicaid between Jan 2018 and Nov 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoSENECA NATION OF INDIANS
SALAMANCA, NY 14779
SALAMANCA, NY 14779
33aNPI1023033511assigned 07/13/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5.46M
24GClaims46,106
24DCodes billed66
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New York
Rank by total paid#49 of 158
Median peer was paid$1.73M
This provider vs. median3.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,404 | $124K | |
| 2019 | 4,107 | $163K | |
| 2020 | 5,136 | $369K | |
| 2021 | 11,943 | $1.07M | |
| 2022 | 8,686 | $1.13M | |
| 2023 | 8,345 | $1.42M | |
| 2024incomplete | 4,485 | $1.20M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 14,249 | 13,391 | $1.51M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 15% | 3,633 | 2,484 | $823K |
| D0999 | Unspecified diagnostic procedure, by report | 14% | 1,218 | 1,144 | $744K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 8.0% | 2,213 | 1,817 | $438K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.9% | 2,675 | 2,594 | $429K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 7.8% | 1,977 | 1,584 | $426K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.1% | 704 | 683 | $170K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.1% | 1,762 | 1,724 | $170K |
| 99443 | 1.7% | 490 | 460 | $92K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.5% | 998 | 998 | $81K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 452 | 452 | $64K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 387 | 387 | $52K |
54 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,048 | $44K |
| 0011A | <1% | 411 | $44K | |
| 0012A | <1% | 390 | $43K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 501 | $28K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 537 | $26K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,037 | $24K |
| 98968 | <1% | 178 | $23K | |
| V2020 | Frames, purchases | <1% | 401 | $23K |
| 0002A | <1% | 167 | $20K | |
| 0064A | <1% | 185 | $19K | |
| 0001A | <1% | 156 | $18K | |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 179 | $18K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 96 | $16K |
| 0072A | <1% | 180 | $16K | |
| 0071A | <1% | 174 | $16K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 170 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 74 | $11K |
| 98967 | <1% | 61 | $9K | |
| D1110 | Prophylaxis - adult | <1% | 206 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 66 | $8K |
| D1206 | Topical application of fluoride varnish | <1% | 373 | $7K |
| 92015 | Determination of refractive state | <1% | 1,034 | $7K |
| D1120 | Dental cleaning, child | <1% | 128 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 307 | $4K |
| 0004A | <1% | 27 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,655 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 28 | $2K |
| 0134A | <1% | 12 | $2K | |
| 80305 | <1% | 167 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 70 | $997.88 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 18 | $950.00 |
| 81003 | <1% | 137 | $825.78 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 42 | $570.00 |
| 91300 | <1% | 438 | $519.00 | |
| D0330 | Panoramic radiographic image | <1% | 14 | $430.00 |
| 90686 | <1% | 972 | $346.06 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 24 | $336.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 39 | $321.18 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 95 | $50.00 |
| 96127 | <1% | 13 | $32.75 | |
| 90461 | <1% | 39 | $24.94 | |
| 82962 | <1% | 37 | $4.90 | |
| 90670 | 0% | 168 | $0.00 | |
| 90633 | 0% | 16 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 25 | $0.00 |
| 91313 | 0% | 12 | $0.00 | |
| D1330 | 0% | 512 | $0.00 | |
| 91307 | 0% | 433 | $0.00 | |
| 91301 | 0% | 963 | $0.00 | |
| 90680 | 0% | 40 | $0.00 | |
| 91306 | 0% | 184 | $0.00 | |
| 90647 | 0% | 40 | $0.00 | |
| 90723 | 0% | 53 | $0.00 | |
| 99000 | 0% | 16 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMAYBEE, SHAELA (CEO)
Parent organizationSENECA NATION OF INDIANS
| Provider | Location | Paid |
|---|---|---|
| Seneca Nation of Indians | Salamanca, NY | $1.23M |
| Seneca Nation of Indians | Irving, NY | $957K |
| Seneca Nation of Indians | Salamanca, NY | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.