WHITE EARTH BAND OF CHIPPEWA
NPI: 1174944110
· WHITE EARTH, MN 56591
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 12/18/2013
$375K
Total Medicaid Paid
Provider Details
| Authorized Official | VIZENOR, ERMA (TRIBAL CHAIRWOMAN) |
| Parent Organization | WHITE EARTH BAND OF CHIPPEWA |
| NPI Enumeration Date | 12/18/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
191 |
$9K |
| 2019 |
889 |
$59K |
| 2020 |
1,987 |
$127K |
| 2021 |
2,012 |
$151K |
| 2022 |
588 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
5,667 |
479 |
$375K |