WHITE EARTH BAND OF CHIPPEWA
NPI: 1649295502
· WHITE EARTH, MN 56591
· 251E00000X
$32.82M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
15,641 |
$4.80M |
| 2019 |
15,593 |
$5.35M |
| 2020 |
12,252 |
$4.20M |
| 2021 |
14,166 |
$5.37M |
| 2022 |
11,123 |
$4.98M |
| 2023 |
9,968 |
$4.45M |
| 2024 |
7,667 |
$3.65M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
24,490 |
15,663 |
$12.64M |
| T1030 |
Rn home care per diem |
18,711 |
5,162 |
$8.45M |
| T1016 |
Case management |
27,371 |
13,512 |
$5.63M |
| S9123 |
Nursing care in home rn |
8,949 |
6,594 |
$4.75M |
| 0011A |
|
737 |
731 |
$299K |
| 0012A |
|
675 |
674 |
$275K |
| 90471 |
|
504 |
502 |
$251K |
| 90460 |
|
516 |
511 |
$183K |
| S5161 |
Emer rspns sys serv permonth |
2,399 |
2,339 |
$89K |
| 0064A |
|
169 |
168 |
$74K |
| 0072A |
|
60 |
60 |
$34K |
| 0071A |
|
66 |
66 |
$34K |
| 0001A |
|
53 |
53 |
$26K |
| 90480 |
|
29 |
28 |
$18K |
| X5622 |
|
57 |
55 |
$16K |
| 0002A |
|
30 |
30 |
$16K |
| 0031A |
|
30 |
30 |
$15K |
| 0134A |
|
43 |
42 |
$13K |
| 90686 |
|
390 |
387 |
$676.00 |
| 90688 |
|
383 |
382 |
$7.00 |
| 90621 |
|
14 |
14 |
$0.00 |
| 99382 |
|
20 |
18 |
$0.00 |
| 99173 |
|
56 |
54 |
$0.00 |
| 99188 |
|
57 |
55 |
$0.00 |
| 99392 |
|
13 |
13 |
$0.00 |
| 90734 |
|
54 |
54 |
$0.00 |
| 91322 |
|
29 |
28 |
$0.00 |
| 96127 |
|
57 |
55 |
$0.00 |
| 91301 |
|
208 |
208 |
$0.00 |
| 96110 |
|
57 |
55 |
$0.00 |
| G0008 |
Admin influenza virus vac |
26 |
26 |
$0.00 |
| S0302 |
Completed epsdt |
57 |
55 |
$0.00 |
| 90619 |
|
17 |
17 |
$0.00 |
| 92551 |
|
54 |
52 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 90651 |
|
15 |
14 |
$0.00 |