Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BOIS FORTE RESERVATION TRIBAL GOVERNMENT

NPI: 1073530150 · NETT LAKE, MN 55772 · Family Medicine Physician · NPI assigned 07/16/2006

$8.82M
Total Medicaid Paid
31,249
Total Claims
23,855
Beneficiaries
63
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCHAVERS, CATHERINE (TRIBAL CHAIRMAN)
NPI Enumeration Date07/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,399 $695K
2019 5,013 $1.27M
2020 5,398 $1.16M
2021 8,765 $2.33M
2022 4,694 $1.68M
2023 2,515 $1.06M
2024 1,465 $621K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,048 5,625 $2.91M
99347 1,951 504 $926K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,915 1,521 $739K
90837 Psychotherapy, 53 minutes with patient 1,547 909 $720K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,368 1,155 $649K
D0120 Periodic oral evaluation - established patient 1,495 1,372 $594K
D0140 Limited oral evaluation - problem focused 1,379 1,191 $505K
90832 Psychotherapy, 30 minutes with patient 465 286 $303K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 624 564 $295K
D7140 Extraction, erupted tooth or exposed root 688 356 $153K
0011A 363 324 $151K
0012A 318 292 $142K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 749 593 $114K
D0150 Comprehensive oral evaluation - new or established patient 256 186 $87K
D1110 Prophylaxis - adult 351 303 $72K
D2391 Resin-based composite - one surface, posterior, primary or permanent 218 144 $56K
0064A 131 128 $53K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 140 112 $45K
99215 Prolong outpt/office vis 74 64 $33K
D0274 Bitewings - four radiographic images 709 627 $30K
D0220 Intraoral - periapical first radiographic image 730 633 $25K
0001A 53 53 $24K
90791 Psychiatric diagnostic evaluation 45 44 $24K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 60 53 $23K
0002A 45 45 $21K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 35 33 $17K
D0330 Panoramic radiographic image 488 417 $17K
D1120 Prophylaxis - child 452 408 $15K
0071A 45 30 $13K
90686 262 215 $9K
0072A 17 17 $8K
0054A 12 12 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $6K
99201 25 13 $6K
91322 45 23 $5K
D2150 Silver amalgam - two surfaces, primary or permanent 15 13 $5K
D1208 Topical application of fluoride, excluding varnish 282 270 $2K
D1206 Topical application of fluoride varnish 17 17 $1K
0134A 30 16 $1K
90688 197 145 $934.00
90460 Immunization administration through 18 years of age via any route, first or only component 107 90 $925.91
D0272 Bitewings - two radiographic images 16 16 $910.00
90480 42 20 $733.20
90734 30 29 $519.00
90472 Immunization administration, each additional vaccine (list separately) 18 12 $479.00
90651 29 25 $455.00
36415 Collection of venous blood by venipuncture 2,246 1,784 $142.15
90461 52 41 $48.85
83036 Hemoglobin; glycosylated (A1C) 29 27 $19.42
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,536 1,170 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 471 427 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 299 253 $0.00
80053 Comprehensive metabolic panel 359 306 $0.00
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 40 37 $0.00
99000 52 42 $0.00
80048 Basic metabolic panel (calcium, ionized) 12 12 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12 12 $0.00
85027 12 12 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 637 533 $0.00
81025 12 12 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 551 242 $0.00
99173 16 15 $0.00
90633 15 13 $0.00