SUQUAMISH TRIBAL
NPI: 1114674942
· SUQUAMISH, WA 98392
· Registered Dietitian
· NPI assigned 03/02/2022
$444K
Total Medicaid Paid
Provider Details
| Authorized Official | KUTZ, STEPHEN (HEALTH CLINIC DIRECTOR) |
| NPI Enumeration Date | 03/02/2022 |
Related Entities
Other providers sharing the same authorized official: KUTZ, STEPHEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
285 |
$114K |
| 2024 |
706 |
$330K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
895 |
656 |
$439K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
80 |
57 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
13 |
$927.35 |