Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Kickapoo Tribe in Kansas

Kickapoo Tribe in Kansas was paid $1.03M by Medicaid between Jan 2018 and Mar 2024, across 21 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 52% of everything it billed.

33Billing provider infoKICKAPOO TRIBE IN KANSAS
HORTON, KS 66439
33aNPI1992806012assigned 09/25/2006
28Total paid$1.03M
24GClaims3,332
24DCodes billed21
24AFirst – last monthJan 2018 – Mar 2024
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
2018510$202K
2019379$149K
2020346$165K
2021501$152K
2022680$162K
2023899$196K
2024incomplete17$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 52% 1,225 1,033 $538K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 220 205 $123K
D1110 Prophylaxis - adult 10% 251 240 $104K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 8.3% 174 159 $85K
D1206 Topical application of fluoride varnish 6.2% 565 539 $64K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 2.4% 82 82 $24K
D1120 Dental cleaning, childProphylaxis - child 2.1% 57 52 $22K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.8% 32 31 $19K
99173 <1% 105 104 $10K
0071A <1% 18 18 $9K
0072A <1% 16 16 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 193 176 $8K
9 more codes
0002A <1% 14 $7K
0001A <1% 13 $7K
D0150 Comprehensive oral evaluation - new or established patient <1% 13 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 14 $654.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 0% 14 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 24 $0.00
D0190 0% 21 $0.00
D1330 0% 255 $0.00
D0603 0% 26 $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 officialSANTER, ASHLEY (ADMINISTRATION)
Parent organizationKICKAPOO TRIBE IN KANSAS