Ponca Tribe of Nebraska

Ponca Tribe of Nebraska was paid $8.86M by Medicaid between Feb 2018 and Dec 2024, across 31 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.

33Billing provider infoPONCA TRIBE OF NEBRASKA
OMAHA, NE 68107

33aNPI1710172879assigned 09/12/2007

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$8.86M

24GClaims25,922

24DCodes billed31

24AFirst – last monthFeb 2018 – Dec 2024

Compared with peers

Next to other Community/Behavioral Health Agency providers in Nebraska

Rank by total paid#3 of 80

Median peer was paid$131K

This provider vs. median68×

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	560	$157K
2019	445	$180K
2020	410	$167K
2021	5,266	$1.45M
2022	6,878	$2.26M
2023	7,296	$2.46M
2024incomplete	5,067	$2.19M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	98%	14,922	12,549	$8.65M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.2%	3,797	3,439	$105K
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	<1%	1,406	1,271	$44K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	477	446	$19K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	627	340	$17K
D1999		<1%	469	432	$4K
36415	Collection of venous blood by venipuncture	<1%	1,151	1,088	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	249	233	$2K
91322		<1%	21	21	$2K
90686		<1%	172	166	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	42	41	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	287	256	$1K

19 more codes

87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	407	$974.74
90480		<1%	21	$797.33
D1206	Topical application of fluoride varnish	<1%	781	$122.95
0012A		<1%	127	$37.25
0013A		<1%	13	$36.94
D0220	Intraoral - periapical first radiographic image	<1%	141	$22.52
0011A		<1%	87	$16.94
81002		<1%	202	$10.44
83036	Hemoglobin; glycosylated (A1C)	<1%	147	$9.72
D0330	Panoramic radiographic image	0%	13	$0.00
D1110	Prophylaxis - adult	0%	27	$0.00
90460	Immunization administration through 18 years of age via any route, first or only component	0%	52	$0.00
90791	Psychiatric diagnostic evaluation	0%	12	$0.00
D0230	Intraoral - periapical each additional radiographic image	0%	44	$0.00
90792	Psychiatric diagnostic evaluation with medical services	0%	12	$0.00
82043		0%	92	$0.00
D1330		0%	89	$0.00
0001A		0%	16	$0.00
90834	Psychotherapy session, about 45 minutes	0%	19	$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 officialRIEB, KATHLEEN (COMPLIANCE OFFICER)