NISQUALLY TRIBE
NPI: 1467644914
· OLYMPIA, WA 98513
· Clinic/Center
· NPI assigned 08/17/2007
$4.04M
Total Medicaid Paid
Provider Details
| Authorized Official | WELLS, RENA (HEALTH DIRECTOR) |
| NPI Enumeration Date | 08/17/2007 |
Related Entities
Other providers sharing the same authorized official: WELLS, RENA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,675 |
$780K |
| 2019 |
2,356 |
$429K |
| 2020 |
1,377 |
$233K |
| 2021 |
204 |
$56K |
| 2022 |
1,413 |
$550K |
| 2023 |
2,260 |
$756K |
| 2024 |
3,179 |
$1.24M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,713 |
2,406 |
$3.78M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,065 |
1,101 |
$157K |
| 90837 |
Psychotherapy, 53 minutes with patient |
543 |
296 |
$55K |
| 96153 |
|
2,635 |
602 |
$20K |
| 96165 |
|
680 |
126 |
$11K |
| 96164 |
|
692 |
126 |
$10K |
| H0001 |
Alcohol and/or drug assessment |
53 |
51 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$0.00 |
| D1330 |
|
13 |
12 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
42 |
39 |
$0.00 |
| D1120 |
Prophylaxis - child |
16 |
14 |
$0.00 |