Agency
Upper Mattaponi Indian Tribe
Upper Mattaponi Indian Tribe was paid $75.61M by Medicaid between Jan 2022 and Dec 2024, across 19 billing codes. Its largest line is S5121, Chore services; per diem — 64% of everything it billed.
33Billing provider infoUPPER MATTAPONI INDIAN TRIBE
AYLETT, VA 23009
AYLETT, VA 23009
33aNPI1750969168assigned 03/30/2021
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$75.61M
24GClaims68,393
24DCodes billed19
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Virginia
Rank by total paid#3 of 565
Median peer was paid$1.46M
This provider vs. median52×
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 | |
|---|---|---|---|
| 2022 | 1,640 | $1.01M | |
| 2023 | 21,883 | $17.41M | |
| 2024incomplete | 44,870 | $57.19M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5121 | Chore services; per diem | 64% | 33,874 | 1,774 | $48.19M |
| Q5009 | Hospice or home health care provided in place not otherwise specified (nos) | 32% | 30,059 | 5,117 | $24.42M |
| 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% | 1,347 | 1,264 | $899K |
| 80053 | Comprehensive metabolic panel | <1% | 658 | 639 | $448K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 648 | 638 | $442K |
| 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% | 611 | 593 | $420K |
| 80061 | Lipid panel | <1% | 439 | 437 | $297K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 253 | 253 | $171K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 144 | 139 | $104K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 105 | 104 | $68K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 54 | 54 | $37K |
| 90686 | <1% | 41 | 41 | $27K |
7 more codes
| 99177 | <1% | 34 | $24K | |
| 81001 | <1% | 26 | $19K | |
| 92587 | <1% | 18 | $13K | |
| 81003 | <1% | 14 | $10K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $10K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $8K |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 42 | $2K |
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 officialTUPPONCE, STEVEN (DIRECTOR)