SAGINAW CHIPPEWA INDIAN TRIBE
NPI: 1649368457
· MT PLEASANT, MI 48858
· General Practice Physician
· NPI assigned 10/10/2006
$2.21M
Total Medicaid Paid
Provider Details
| Authorized Official | FOX, KARMEN (EXECUTIVE HEALTH DIRECTOR) |
| NPI Enumeration Date | 10/10/2006 |
Related Entities
Other providers sharing the same authorized official: FOX, KARMEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,047 |
$232K |
| 2019 |
1,048 |
$249K |
| 2020 |
943 |
$235K |
| 2021 |
1,161 |
$308K |
| 2022 |
1,466 |
$531K |
| 2023 |
1,123 |
$434K |
| 2024 |
561 |
$224K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
3,572 |
3,122 |
$1.96M |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
432 |
428 |
$249K |
| 0012A |
|
17 |
17 |
$643.45 |
| 0011A |
|
26 |
26 |
$502.30 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,206 |
2,825 |
$0.00 |
| 91301 |
|
55 |
45 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
24 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
14 |
$0.00 |