Medicaid Provider Spending

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

COWLITZ INDIAN TRIBE

NPI: 1164649679 · VANCOUVER, WA 98665 · General Practice Physician · NPI assigned 04/19/2007

$3.88M
Total Medicaid Paid
20,731
Total Claims
4,511
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialKELLER, SHAVON (BILLING SUPERVISOR)
Parent OrganizationCOWLITZ INDIAN TRIBE
NPI Enumeration Date04/19/2007

Related Entities

Other providers sharing the same authorized official: KELLER, SHAVON

ProviderCityStateTotal Paid
COWLITZ INDIAN TRIBE LONGVIEW WA $16.15M
COWLITZ INDIAN TRIBE LONGVIEW WA $10.17M
COWLITZ INDIAN TRIBE TUKWILA WA $9.40M
COWLITZ INDIAN TRIBE VANCOUVER WA $6.89M
COWLITZ INDIAN TRIBE LONGVIEW WA $4.60M
COWLITZ INDIAN TRIBE LONGVIEW WA $1.97M
COWLITZ INDIAN TRIBE VANCOUVER WA $1.07M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,825 $449K
2019 3,867 $636K
2020 1,757 $272K
2021 4,227 $766K
2022 4,035 $877K
2023 2,433 $522K
2024 1,587 $362K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 9,175 1,622 $3.45M
96153 2,534 433 $154K
H0004 Behavioral health counseling and therapy, per 15 minutes 1,851 1,030 $127K
96165 3,581 713 $116K
96164 3,590 713 $39K