SHOSHONE BANNOCK TRIBES, INC
NPI: 1801949763
· FORT HALL, ID 83203
· Clinic/Center
$1.74M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
614 |
$203K |
| 2019 |
603 |
$201K |
| 2020 |
465 |
$173K |
| 2021 |
798 |
$268K |
| 2022 |
1,173 |
$472K |
| 2023 |
342 |
$201K |
| 2024 |
444 |
$221K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,268 |
2,653 |
$1.74M |
| 99212 |
|
578 |
467 |
$363.58 |
| 99214 |
|
428 |
384 |
$219.22 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
75 |
65 |
$131.24 |
| 90460 |
|
33 |
33 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |
| 99213 |
|
41 |
39 |
$0.00 |