Medicaid Provider Spending

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

PRAIRIE BAND POTAWATOMI NATION

NPI: 1245266410 · MAYETTA, KS 66509 · Health Service Clinic/Center · NPI assigned 06/22/2006

$2.74M
Total Medicaid Paid
6,250
Total Claims
4,733
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLEWIS, TIFFANY (BUSINESS OFFICE MANAGER)
NPI Enumeration Date06/22/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,011 $331K
2019 741 $269K
2020 447 $183K
2021 1,194 $514K
2022 1,242 $658K
2023 1,180 $641K
2024 435 $141K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,084 4,572 $2.72M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 72 71 $17K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 13 $3K
36415 Collection of venous blood by venipuncture 14 12 $44.70
G0008 Administration of influenza virus vaccine 13 13 $0.00
83036 Hemoglobin; glycosylated (A1C) 53 52 $0.00