Shoshone Bannock Tribes, INC

Shoshone Bannock Tribes, INC was paid $1.74M by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.

33Billing provider infoSHOSHONE BANNOCK TRIBES, INC
FORT HALL, ID 83203

33aNPI1801949763assigned 01/22/2007

33bProvider typeClinic/Center

28Total paid$1.74M

24GClaims4,439

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Clinic/Center providers in Idaho

Rank by total paid#2 of 25

Median peer was paid$248K

This provider vs. median7.0×

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
2018	614	$203K
2019	603	$201K
2020	465	$173K
2021	798	$268K
2022	1,173	$472K
2023	342	$201K
2024incomplete	444	$221K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	100%	3,268	2,653	$1.74M
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	578	467	$363.58
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%	428	384	$219.22
A4206	Syringe with needle, sterile, 1 cc or less, each	<1%	75	65	$131.24
90460	Immunization administration through 18 years of age via any route, first or only component	0%	33	33	$0.00
90686		0%	16	16	$0.00
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	41	39	$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 officialMENDEZ, ANGELA (TRIBAL HEALTH DIRECTOR)

Parent organizationSHOSHONE BANNOCK TRIBES, INC