Clinic
Shoshone Tribe
Shoshone Tribe was paid $669K by Medicaid between Jan 2018 and Jul 2024, across 7 billing codes. Its largest line is 90962, — 100% of everything it billed.
33Billing provider infoSHOSHONE TRIBE
FORT WASHAKIE, WY 82514
FORT WASHAKIE, WY 82514
33aNPI1790824530assigned 02/06/2007
33bProvider typeEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
28Total paid$669K
24GClaims14,087
24DCodes billed7
24AFirst – last monthJan 2018 – Jul 2024
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 | 2,072 | $0.00 | |
| 2019 | 1,775 | $0.00 | |
| 2020 | 1,879 | $0.00 | |
| 2021 | 1,737 | $0.00 | |
| 2022 | 2,083 | $0.00 | |
| 2023 | 2,177 | $214.18 | |
| 2024incomplete | 2,364 | $669K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90962 | 100% | 1,008 | 90 | $669K | |
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | <1% | 2,767 | 231 | $156.10 |
| J2916 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg | <1% | 628 | 178 | $58.08 |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | 0% | 1,859 | 499 | $0.00 |
| J1756 | Injection, iron sucrose, 1 mg | 0% | 128 | 37 | $0.00 |
| J2501 | Injection, paricalcitol, 1 mcg | 0% | 6,740 | 644 | $0.00 |
| A4657 | Syringe, with or without needle, each | 0% | 957 | 90 | $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 officialGARCIA, DIANE (CEO, NURSE MANAGER)