Clinic
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
HORTON, KS 66439
33aNPI1992806012assigned 09/25/2006
33bProvider typeFederal Public Health Clinic/Center
28Total paid$1.03M
24GClaims3,332
24DCodes billed21
24AFirst – last monthJan 2018 – Mar 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 | 510 | $202K | |
| 2019 | 379 | $149K | |
| 2020 | 346 | $165K | |
| 2021 | 501 | $152K | |
| 2022 | 680 | $162K | |
| 2023 | 899 | $196K | |
| 2024incomplete | 17 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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