Clinic
Consolidated Tribal Health Project, INC.
Consolidated Tribal Health Project, INC. was paid $30.80M by Medicaid between Jan 2018 and Nov 2024, across 60 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 59% of everything it billed.
33Billing provider infoCONSOLIDATED TRIBAL HEALTH PROJECT, INC.
REDWOOD VALLEY, CA 95470
REDWOOD VALLEY, CA 95470
33aNPI1003826009assigned 08/09/2006
33bProvider typeHealth Service Clinic/Center
28Total paid$30.80M
24GClaims103,705
24DCodes billed60
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Health Service Clinic/Center providers in California
Rank by total paid#2 of 87
Median peer was paid$88K
This provider vs. median350×
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 | 15,701 | $3.56M | |
| 2019 | 13,839 | $3.61M | |
| 2020 | 12,825 | $3.22M | |
| 2021 | 15,974 | $4.14M | |
| 2022 | 18,581 | $6.01M | |
| 2023 | 16,559 | $5.66M | |
| 2024incomplete | 10,226 | $4.59M |
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 | 59% | 32,741 | 22,226 | $18.12M |
| 00003 | Internal/system code - not a standard HCPCS code | 33% | 19,283 | 15,380 | $10.28M |
| G0467 | Community health center visit, returning patientFederally 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 | 5.1% | 3,986 | 3,009 | $1.56M |
| 97810 | 1.4% | 666 | 457 | $439K | |
| A0390 | Als mileage (per mile) | <1% | 4,105 | 1,805 | $171K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 4,117 | 1,809 | $144K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 158 | 82 | $74K |
| 98940 | <1% | 389 | 263 | $15K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 4,252 | 2,275 | $479.00 |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 341 | 304 | $126.80 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,207 | 804 | $103.25 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 17,123 | 14,101 | $72.03 |
48 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,107 | $19.91 |
| 99000 | <1% | 740 | $3.64 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 622 | $0.01 |
| 11721 | 0% | 105 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 1,342 | $0.00 |
| 99177 | 0% | 509 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 373 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 274 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 1,113 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 56 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 199 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 87 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 30 | $0.00 |
| 81003 | 0% | 45 | $0.00 | |
| 80061 | Lipid panel | 0% | 30 | $0.00 |
| 90630 | 0% | 125 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 13 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 311 | $0.00 |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 0% | 19 | $0.00 |
| 90461 | 0% | 16 | $0.00 | |
| 99173 | 0% | 208 | $0.00 | |
| 81025 | 0% | 12 | $0.00 | |
| 83721 | 0% | 51 | $0.00 | |
| 90715 | 0% | 72 | $0.00 | |
| 90662 | 0% | 12 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 116 | $0.00 |
| 90658 | 0% | 20 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 86 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 804 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 3,180 | $0.00 |
| 82043 | 0% | 36 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 1,216 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 142 | $0.00 |
| 92551 | 0% | 385 | $0.00 | |
| 97124 | 0% | 14 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 132 | $0.00 |
| 86701 | 0% | 76 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 94 | $0.00 |
| 96127 | 0% | 450 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 655 | $0.00 |
| 82962 | 0% | 100 | $0.00 | |
| 36416 | 0% | 95 | $0.00 | |
| 90686 | 0% | 82 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 92 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 12 | $0.00 |
| 90674 | 0% | 23 | $0.00 | |
| 87522 | Neg quan hep c or qual rna | 0% | 39 | $0.00 |
| 81000 | 0% | 17 | $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 officialGUZMAN, LISA (EXECUTIVE DIRECTOR)