SHOALWATER BAY INDIAN TRIBE
NPI: 1104038926
· TOKELAND, WA 98590
· Community/Behavioral Health Agency
· NPI assigned 05/04/2007
$1.08M
Total Medicaid Paid
Provider Details
| Authorized Official | JOHNSON, CAROL (TRIBAL ADMISTRATOR) |
| NPI Enumeration Date | 05/04/2007 |
Related Entities
Other providers sharing the same authorized official: JOHNSON, CAROL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,163 |
$259K |
| 2019 |
845 |
$213K |
| 2020 |
457 |
$139K |
| 2021 |
792 |
$222K |
| 2022 |
253 |
$119K |
| 2023 |
253 |
$105K |
| 2024 |
76 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,646 |
976 |
$1.05M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
901 |
446 |
$33K |
| 96165 |
|
88 |
40 |
$3K |
| 96164 |
|
88 |
40 |
$1K |
| 96153 |
|
116 |
53 |
$968.60 |