Clinic
Spirit Lake Tribe
Spirit Lake Tribe was paid $16.57M by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 92% of everything it billed.
33Billing provider infoSPIRIT LAKE TRIBE
FORT TOTTEN, ND 58335
FORT TOTTEN, ND 58335
33aNPI1114472891assigned 08/23/2016
28Total paid$16.57M
24GClaims44,380
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in North Dakota
Rank by total paid#1 of 18
Median peer was paid$70K
This provider vs. median237×
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 | 6,246 | $1.52M | |
| 2019 | 5,860 | $1.89M | |
| 2020 | 4,428 | $1.72M | |
| 2021 | 9,490 | $2.98M | |
| 2022 | 7,557 | $3.15M | |
| 2023 | 6,000 | $2.72M | |
| 2024incomplete | 4,799 | $2.59M |
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 | 92% | 34,714 | 28,179 | $15.23M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.4% | 1,479 | 1,124 | $721K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 363 | 355 | $159K |
| D1206 | Topical application of fluoride varnish | <1% | 223 | 222 | $153K |
| 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 | <1% | 1,380 | 1,242 | $129K |
| D0140 | Limited oral evaluation - problem focused | <1% | 147 | 141 | $95K |
| D1110 | Prophylaxis - adult | <1% | 18 | 18 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 17 | 17 | $10K |
| 4270 | <1% | 245 | 214 | $9K | |
| Q3014 | Telehealth originating site facility fee | <1% | 254 | 187 | $8K |
| 42700 | <1% | 15 | 15 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 397 | 358 | $5K |
30 more codes
| 0012A | <1% | 252 | $4K | |
| 0011A | <1% | 231 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 33 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 32 | $3K |
| 0002A | <1% | 118 | $3K | |
| 0031A | <1% | 125 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 634 | $2K |
| 0001A | <1% | 102 | $2K | |
| 80076 | <1% | 380 | $2K | |
| 0064A | <1% | 29 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 318 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 409 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,101 | $1K |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | <1% | 17 | $1K |
| 80061 | Lipid panel | <1% | 123 | $1K |
| 91320 | <1% | 18 | $1K | |
| 0004A | <1% | 12 | $630.52 | |
| 90688 | <1% | 241 | $571.62 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 41 | $502.84 |
| 0124A | <1% | 16 | $413.15 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 13 | $391.12 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 16 | $384.80 |
| 90686 | <1% | 20 | $265.59 | |
| 0134A | <1% | 13 | $247.89 | |
| A0080 | Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest | <1% | 17 | $201.84 |
| 81003 | <1% | 76 | $92.57 | |
| 91300 | 0% | 195 | $0.00 | |
| 91301 | 0% | 416 | $0.00 | |
| 91303 | 0% | 117 | $0.00 | |
| 90694 | 0% | 13 | $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 officialKRULISH, ARLENE (CEO)
Parent organizationSPIRIT LAKE TRIBE