SAULT TRIBE OF CHIPPEWA INDIANS
NPI: 1477721058
· SAULT SAINTE MARIE, MI 49783
· 207Q00000X
$18.55M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
17,934 |
$2.41M |
| 2019 |
14,424 |
$2.17M |
| 2020 |
10,926 |
$1.81M |
| 2021 |
14,793 |
$2.67M |
| 2022 |
16,227 |
$3.73M |
| 2023 |
15,169 |
$3.53M |
| 2024 |
8,555 |
$2.23M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| G0467 |
Fqhc visit, estab pt |
29,307 |
25,723 |
$10.90M |
| G0470 |
Fqhc visit, mh estab pt |
18,137 |
10,209 |
$7.01M |
| 90837 |
|
10,613 |
6,406 |
$164K |
| G0466 |
Fqhc visit new patient |
404 |
403 |
$116K |
| 99214 |
|
8,213 |
7,844 |
$96K |
| 99213 |
|
10,797 |
10,231 |
$91K |
| 90834 |
|
4,370 |
3,069 |
$49K |
| 99215 |
Prolong outpt/office vis |
1,143 |
1,120 |
$22K |
| 99212 |
|
3,529 |
3,318 |
$21K |
| 99392 |
|
513 |
512 |
$16K |
| 90471 |
|
3,571 |
3,549 |
$13K |
| 90472 |
|
1,416 |
1,415 |
$10K |
| 90832 |
|
1,243 |
1,043 |
$10K |
| 99393 |
|
427 |
426 |
$8K |
| 90791 |
|
130 |
115 |
$4K |
| 90686 |
|
930 |
927 |
$2K |
| 99394 |
|
138 |
138 |
$2K |
| 91320 |
|
24 |
24 |
$2K |
| 96110 |
|
450 |
449 |
$1K |
| 36415 |
|
1,478 |
1,455 |
$1K |
| 90480 |
|
36 |
36 |
$843.68 |
| 87428 |
|
72 |
72 |
$717.36 |
| 90651 |
|
29 |
29 |
$688.02 |
| 90682 |
|
27 |
27 |
$612.00 |
| 87426 |
|
29 |
29 |
$608.00 |
| 90688 |
|
382 |
377 |
$485.32 |
| 90656 |
|
17 |
17 |
$368.20 |
| 99395 |
|
37 |
37 |
$325.36 |
| 96158 |
|
34 |
25 |
$289.08 |
| 96372 |
|
188 |
175 |
$192.73 |
| 90715 |
|
44 |
44 |
$185.79 |
| G0008 |
Admin influenza virus vac |
71 |
70 |
$110.08 |
| 81002 |
|
27 |
27 |
$40.32 |
| 90647 |
|
26 |
26 |
$0.00 |
| 87880 |
|
54 |
54 |
$0.00 |
| 90670 |
|
66 |
66 |
$0.00 |
| 99391 |
|
26 |
26 |
$0.00 |
| 90672 |
|
17 |
17 |
$0.00 |
| 87804 |
|
13 |
13 |
$0.00 |