Nottawaseppi Huron Band of the Potawatomi

Nottawaseppi Huron Band of the Potawatomi was paid $2.77M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is G0470, Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit — 52% of everything it billed.

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	1,124	$117K
2019	1,750	$232K
2020	1,627	$267K
2021	2,470	$366K
2022	3,520	$577K
2023	3,901	$654K
2024incomplete	2,908	$557K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit	52%	5,044	2,527	$1.43M
G0467	Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit	40%	3,868	3,307	$1.11M
G0468	Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv	2.5%	345	320	$70K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.4%	653	653	$66K
D1110	Prophylaxis - adult	2.1%	212	212	$57K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	2,725	1,547	$7K
D4910		<1%	27	27	$6K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	20	12	$5K
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%	2,106	1,875	$4K
D0150	Comprehensive oral evaluation - new or established patient	<1%	12	12	$4K
D1120	Dental cleaning, childProphylaxis - child	<1%	60	60	$2K
D1206	Topical application of fluoride varnish	<1%	89	89	$2K

18 more codes

G0466	Community health center visit, new patient	<1%	12	$2K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	45	$1K
99214	Doctor's office visit, returning patient (more involved)	<1%	572	$1K
0012A		<1%	31	$1K
90837	Psychotherapy session, about an hour	<1%	757	$893.98
0011A		<1%	38	$597.29
D0274	Bitewings - four radiographic images	<1%	27	$209.02
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	76	$78.65
D0220	Intraoral - periapical first radiographic image	<1%	13	$66.57
90686		<1%	30	$38.06
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	50	$32.88
83036	Hemoglobin; glycosylated (A1C)	<1%	71	$32.16
80053	Comprehensive metabolic panel	<1%	41	$26.22
36415	Collection of venous blood by venipuncture	<1%	75	$21.71
80061	Lipid panel	<1%	14	$13.08
90832	Psychotherapy session, about 30 minutes	0%	59	$0.00
99215	Doctor's office visit, returning patient (complex)	0%	17	$0.00
3008F		0%	211	$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 officialJOHNSTON, ROSALIND (HEALTH DIRECTOR)