Medicaid Provider Spending

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

EASTERN BAND OF CHEROKEE INDIANS

NPI: 1619010634 · CHEROKEE, NC 28719 · Federally Qualified Health Center (FQHC) · NPI assigned 02/15/2007

$1K
Total Medicaid Paid
161
Total Claims
155
Beneficiaries
5
Codes Billed
2019-04
First Month
2019-10
Last Month

Provider Details

Authorized OfficialQUILLEN, MICHAEL (HEALTH CARE BUSINESS MANAGER)
Parent OrganizationEASTERN BAND OF CHEROKEE INDIANS
NPI Enumeration Date02/15/2007

Related Entities

Other providers sharing the same authorized official: QUILLEN, MICHAEL

ProviderCityStateTotal Paid
EASTERN BAND OF CHEROKEE INDIANS CHEROKEE NC $33K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 161 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 15 13 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 39 38 $67.13
90688 39 38 $0.00
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) 34 33 $0.00
A4206 Syringe with needle, sterile, 1 cc or less, each 34 33 $0.00