NOTTAWASEPPI HURON BAND OF THE POTAWATOMI
NPI: 1770500548
· WYOMING, MI 49519
· 261QP0904X
$2.77M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,124 |
$117K |
| 2019 |
1,750 |
$232K |
| 2020 |
1,627 |
$267K |
| 2021 |
2,470 |
$366K |
| 2022 |
3,520 |
$577K |
| 2023 |
3,901 |
$654K |
| 2024 |
2,908 |
$557K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| G0470 |
Fqhc visit, mh estab pt |
5,044 |
2,527 |
$1.43M |
| G0467 |
Fqhc visit, estab pt |
3,868 |
3,307 |
$1.11M |
| G0468 |
Fqhc visit, ippe or awv |
345 |
320 |
$70K |
| D0120 |
|
653 |
653 |
$66K |
| D1110 |
|
212 |
212 |
$57K |
| 90834 |
|
2,725 |
1,547 |
$7K |
| D4910 |
|
27 |
27 |
$6K |
| D2392 |
|
20 |
12 |
$5K |
| 99213 |
|
2,106 |
1,875 |
$4K |
| D0150 |
|
12 |
12 |
$4K |
| D1120 |
|
60 |
60 |
$2K |
| D1206 |
|
89 |
89 |
$2K |
| G0466 |
Fqhc visit new patient |
12 |
12 |
$2K |
| 87635 |
|
45 |
45 |
$1K |
| 99214 |
|
572 |
537 |
$1K |
| 0012A |
|
31 |
31 |
$1K |
| 90837 |
|
757 |
481 |
$893.98 |
| 0011A |
|
38 |
38 |
$597.29 |
| D0274 |
|
27 |
27 |
$209.02 |
| 90471 |
|
76 |
73 |
$78.65 |
| D0220 |
|
13 |
12 |
$66.57 |
| 90686 |
|
30 |
29 |
$38.06 |
| 99212 |
|
50 |
49 |
$32.88 |
| 83036 |
|
71 |
70 |
$32.16 |
| 80053 |
|
41 |
39 |
$26.22 |
| 36415 |
|
75 |
73 |
$21.71 |
| 80061 |
|
14 |
13 |
$13.08 |
| 90832 |
|
59 |
50 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
17 |
16 |
$0.00 |
| 3008F |
|
211 |
200 |
$0.00 |