Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SAULT TRIBE OF CHIPPEWA INDIANS

NPI: 1902074586 · SAULT SAINTE MARIE, MI 49783 · Federally Qualified Health Center (FQHC) · NPI assigned 02/15/2008

$1.46M
Total Medicaid Paid
5,945
Total Claims
5,925
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCULFA, BONNIE (DIVISION OF HEALTH DIRECTOR)
NPI Enumeration Date02/15/2008

Related Entities

Other providers sharing the same authorized official: CULFA, BONNIE

ProviderCityStateTotal Paid
SAULT TRIBE OF CHIPPEWA INDIANS SAULT SAINTE MARIE MI $18.55M
SAULT TRIBE OF CHIPPEWA INDIANS SAULT SAINTE MARIE MI $5.93M
SAULT TRIBE OF CHIPPEWA INDIANS SAULT SAINTE MARIE MI $1.67M
SAULT TRIBE OF CHIPPEWA INDIANS SAULT SAINTE MARIE MI $515K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 844 $173K
2019 345 $105K
2020 617 $120K
2021 768 $170K
2022 755 $204K
2023 1,669 $411K
2024 947 $275K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0467 Federally 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 2,050 2,033 $1.04M
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 704 704 $422K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 385 385 $544.29
92015 Determination of refractive state 2,110 2,107 $509.26
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 667 667 $425.72
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29 29 $57.08