Clinic
Oneida Nation
Oneida Nation was paid $1.49M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 13% of everything it billed.
33Billing provider infoONEIDA NATION
ONEIDA, WI 54155
ONEIDA, WI 54155
33aNPI1740278308assigned 10/07/2005
33bProvider typeClinic/Center
28Total paid$1.49M
24GClaims100,381
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Wisconsin
Rank by total paid#11 of 102
Median peer was paid$54K
This provider vs. median28×
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 | 17,257 | $236K | |
| 2019 | 12,308 | $181K | |
| 2020 | 8,855 | $136K | |
| 2021 | 14,803 | $210K | |
| 2022 | 14,606 | $211K | |
| 2023 | 17,992 | $274K | |
| 2024incomplete | 14,560 | $244K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 7,721 | 6,865 | $192K |
| 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 | 10% | 4,102 | 3,692 | $152K |
| D1206 | Topical application of fluoride varnish | 8.3% | 9,473 | 9,196 | $124K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.6% | 2,883 | 2,657 | $99K |
| D1110 | Prophylaxis - adult | 6.3% | 3,711 | 3,611 | $94K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.6% | 5,749 | 5,579 | $83K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.1% | 3,164 | 3,079 | $61K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.3% | 2,186 | 2,155 | $49K |
| 83036 | Hemoglobin; glycosylated (A1C) | 3.1% | 5,833 | 5,419 | $46K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 3.1% | 1,528 | 1,410 | $46K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 3.0% | 1,528 | 1,410 | $45K |
| 80053 | Comprehensive metabolic panel | 2.8% | 5,220 | 4,721 | $42K |
66 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 729 | $38K |
| D0140 | Limited oral evaluation - problem focused | 2.5% | 1,837 | $37K |
| 80061 | Lipid panel | 2.4% | 3,197 | $35K |
| 84443 | Thyroid stimulating hormone (TSH) | 2.2% | 2,661 | $33K |
| 92015 | Determination of refractive state | 2.1% | 4,065 | $32K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 543 | $30K |
| D0274 | Bitewings - four radiographic images | 2.0% | 1,708 | $29K |
| D0330 | Panoramic radiographic image | 1.4% | 577 | $20K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.2% | 2,940 | $17K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 1.1% | 664 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 601 | $16K |
| D0272 | Bitewings - two radiographic images | <1% | 1,049 | $15K |
| D1351 | Sealant - per tooth | <1% | 938 | $14K |
| 85027 | <1% | 2,629 | $14K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,459 | $12K |
| 99000 | <1% | 3,863 | $10K | |
| 90686 | <1% | 1,050 | $8K | |
| 81025 | <1% | 1,163 | $8K | |
| 81001 | <1% | 2,631 | $6K | |
| 80050 | General health panel | <1% | 305 | $5K |
| 80306 | <1% | 370 | $5K | |
| 84439 | <1% | 727 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 88 | $4K |
| 87210 | <1% | 860 | $4K | |
| 81003 | <1% | 1,787 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 416 | $4K |
| 82043 | <1% | 748 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 53 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 89 | $3K |
| G0127 | Trimming of dystrophic nails, any number | <1% | 468 | $2K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 358 | $2K |
| 91322 | <1% | 23 | $2K | |
| 83655 | <1% | 232 | $2K | |
| 80069 | <1% | 306 | $2K | |
| 87806 | <1% | 89 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 149 | $2K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 60 | $2K |
| 90670 | <1% | 545 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 28 | $1K |
| 90723 | <1% | 258 | $996.86 | |
| Q3014 | Telehealth originating site facility fee | <1% | 46 | $952.98 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 66 | $861.96 |
| 90647 | <1% | 275 | $797.71 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 20 | $765.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 27 | $736.02 |
| 84481 | <1% | 69 | $709.52 | |
| 90480 | <1% | 24 | $655.26 | |
| 90672 | <1% | 28 | $575.00 | |
| 90677 | <1% | 47 | $510.00 | |
| 82570 | <1% | 128 | $507.72 | |
| 80074 | <1% | 14 | $483.44 | |
| 90656 | <1% | 35 | $455.93 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,364 | $281.98 |
| 83550 | <1% | 45 | $278.17 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 17 | $277.07 |
| 83540 | <1% | 45 | $205.66 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 154 | $178.91 |
| 90681 | <1% | 52 | $155.57 | |
| 36416 | <1% | 16 | $6.06 | |
| 3008F | 0% | 108 | $0.00 | |
| D1330 | 0% | 24 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 195 | $0.00 |
| 97803 | 0% | 12 | $0.00 | |
| D0190 | 0% | 128 | $0.00 | |
| 98960 | 0% | 17 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 64 | $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 officialDANFORTH, DEBRA (COMPREHENSIVE HEALTH OPERATIONS MAN)