UPPER MATTAPONI INDIAN TRIBE
NPI: 1750969168
· AYLETT, VA 23009
· 251S00000X
$75.61M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,640 |
$1.01M |
| 2023 |
21,883 |
$17.41M |
| 2024 |
44,870 |
$57.19M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5121 |
Chore services per diem |
33,874 |
1,774 |
$48.19M |
| Q5009 |
Hospice/home hlth, place nos |
30,059 |
5,117 |
$24.42M |
| 99213 |
|
1,347 |
1,264 |
$899K |
| 80053 |
|
658 |
639 |
$448K |
| 85025 |
|
648 |
638 |
$442K |
| 99214 |
|
611 |
593 |
$420K |
| 80061 |
|
439 |
437 |
$297K |
| 83036 |
|
253 |
253 |
$171K |
| 99215 |
Prolong outpt/office vis |
144 |
139 |
$104K |
| 84443 |
|
105 |
104 |
$68K |
| 87635 |
|
54 |
54 |
$37K |
| 90686 |
|
41 |
41 |
$27K |
| 99177 |
|
34 |
34 |
$24K |
| 81001 |
|
26 |
26 |
$19K |
| 92587 |
|
18 |
18 |
$13K |
| 81003 |
|
14 |
14 |
$10K |
| 99394 |
|
14 |
14 |
$10K |
| 99203 |
|
12 |
12 |
$8K |
| T1015 |
Clinic service |
42 |
37 |
$2K |