JAMESTOWN S'KLALLAM TRIBE
NPI: 1023195161
· SEQUIM, WA 98382
· Family Medicine Physician
· NPI assigned 11/01/2006
$2.85M
Total Medicaid Paid
Provider Details
| Authorized Official | ALLEN, W. (TRIBAL CHAIRMAN/EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 11/01/2006 |
Related Entities
Other providers sharing the same authorized official: ALLEN, W.
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,404 |
$498K |
| 2023 |
4,022 |
$1.27M |
| 2024 |
3,301 |
$1.08M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,420 |
2,798 |
$2.71M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,012 |
1,472 |
$94K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
898 |
446 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
106 |
98 |
$7K |
| 80305 |
|
346 |
251 |
$3K |
| Q3014 |
Telehealth originating site facility fee |
93 |
83 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
15 |
$253.96 |
| 86580 |
|
29 |
28 |
$173.07 |
| 36415 |
Collection of venous blood by venipuncture |
45 |
40 |
$120.12 |
| 81025 |
|
14 |
14 |
$107.24 |
| 3074F |
|
364 |
295 |
$0.00 |
| 3075F |
|
14 |
12 |
$0.00 |
| 3079F |
|
181 |
152 |
$0.00 |
| 3078F |
|
171 |
140 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |