Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › FORT HALL › SHOSHONE BANNOCK TRIBES, INC

SHOSHONE BANNOCK TRIBES, INC

NPI: 1225414519 · FORT HALL, ID 83203 · Federally Qualified Health Center (FQHC) · NPI assigned 08/10/2015

$556K
Total Medicaid Paid
1,360
Total Claims
1,281
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialJOHNSON, MELISSA (CREDENTIALING MANAGER)
NPI Enumeration Date08/10/2015

Related Entities

Other providers sharing the same authorized official: JOHNSON, MELISSA

ProviderCityStateTotal Paid
SHIRLEY'S PERSONAL CARE SERVICES OF OKEECHOBEE, INC. OKEECHOBEE FL $1.19M
WINNER & ASSOCIATES, LLC SOUTH ORANGE NJ $711K
TOWNSHIP AMBULANCE AUTHORITY BELLAIRE MI $477K
ACHIEVING CHANGES COUNSELING SERVICES, PLLC CLEMMONS NC $186K
HOME CARE OF NORTH DAKOTA LLC GRAND FORKS ND $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 189 $58K
2019 245 $95K
2020 86 $34K
2021 299 $107K
2022 115 $57K
2023 251 $137K
2024 175 $68K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 1,042 977 $556K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 24 24 $11.46
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 194 183 $0.00
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 69 67 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 16 15 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 15 $0.00