Physician
Saginaw Chippewa Indian Tribe
Saginaw Chippewa Indian Tribe was paid $2.21M by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is G0467, community health center visit, returning patient — 89% of everything it billed.
33Billing provider infoSAGINAW CHIPPEWA INDIAN TRIBE
MT PLEASANT, MI 48858
MT PLEASANT, MI 48858
33aNPI1649368457assigned 10/10/2006
33bProvider typeGeneral Practice Physician
28Total paid$2.21M
24GClaims7,349
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Physician providers in Michigan
Rank by total paid#10 of 91
Median peer was paid$81K
This provider vs. median27×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,047 | $232K | |
| 2019 | 1,048 | $249K | |
| 2020 | 943 | $235K | |
| 2021 | 1,161 | $308K | |
| 2022 | 1,466 | $531K | |
| 2023 | 1,123 | $434K | |
| 2024incomplete | 561 | $224K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0467 | Community health center visit, returning patientFederally 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 | 89% | 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 | 11% | 432 | 428 | $249K |
| 0012A | <1% | 17 | 17 | $643.45 | |
| 0011A | <1% | 26 | 26 | $502.30 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 3,206 | 2,825 | $0.00 |
| 91301 | 0% | 55 | 45 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 0% | 26 | 24 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 15 | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialFOX, KARMEN (EXECUTIVE HEALTH DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Nimkee Dental Saginaw Chippewa Indian Tribe | Mt Pleasant, MI | $219K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.