Spirit Lake Tribe

Spirit Lake Tribe was paid $766K by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 96% of everything it billed.

33Billing provider infoSPIRIT LAKE TRIBE
FORT TOTTEN, ND 58335

33aNPI1720152457assigned 11/17/2006

33bProvider typeCase Management Agency

28Total paid$766K

24GClaims1,488

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Case Management Agency providers in North Dakota

Rank by total paid#5 of 18

Median peer was paid$59K

This provider vs. median13×

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	75	$27K
2019	131	$47K
2020	383	$174K
2021	356	$176K
2022	163	$96K
2023	263	$164K
2024incomplete	117	$81K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	96%	1,430	1,368	$737K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.5%	28	28	$19K
99382		1.2%	30	28	$9K

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 officialCAVANAUGH, PEGGY (TRIBAL CHAIRPERSON)