SAULT TRIBE OF CHIPPEWA INDIANS
NPI: 1205004884
· SAULT SAINTE MARIE, MI 49783
· 261QF0400X
$5.93M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,446 |
$562K |
| 2019 |
3,302 |
$604K |
| 2020 |
2,715 |
$533K |
| 2021 |
2,796 |
$582K |
| 2022 |
4,100 |
$1.02M |
| 2023 |
5,583 |
$1.38M |
| 2024 |
5,152 |
$1.25M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
13,671 |
11,970 |
$5.76M |
| 99213 |
|
8,571 |
7,939 |
$82K |
| G0466 |
Fqhc visit new patient |
139 |
139 |
$39K |
| 99214 |
|
1,597 |
1,494 |
$28K |
| 99212 |
|
1,209 |
1,133 |
$9K |
| 99204 |
|
56 |
56 |
$4K |
| 87428 |
|
326 |
322 |
$4K |
| 99394 |
|
85 |
84 |
$2K |
| 87880 |
|
641 |
632 |
$1K |
| 80305 |
|
189 |
153 |
$813.54 |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$461.80 |
| 99396 |
|
13 |
13 |
$449.45 |
| 90471 |
|
145 |
144 |
$436.12 |
| 99395 |
|
13 |
13 |
$325.36 |
| 36415 |
|
122 |
120 |
$194.15 |
| 87426 |
|
17 |
17 |
$192.00 |
| 81002 |
|
134 |
131 |
$149.76 |
| 87804 |
|
81 |
66 |
$123.39 |
| 96372 |
|
32 |
30 |
$52.44 |
| 90686 |
|
26 |
26 |
$43.04 |
| 90688 |
|
12 |
12 |
$0.00 |