Agency
Fallon Tribal Health Center
Fallon Tribal Health Center was paid $24.82M by Medicaid between Jan 2018 and Dec 2024, across 44 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 infoFALLON TRIBAL HEALTH CENTER
FALLON, NV 89406
FALLON, NV 89406
33aNPI1023057478assigned 06/04/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$24.82M
24GClaims71,341
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Nevada
Rank by total paid#2 of 358
Median peer was paid$382K
This provider vs. median65×
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 | 7,726 | $3.19M | |
| 2019 | 7,043 | $2.78M | |
| 2020 | 6,295 | $2.90M | |
| 2021 | 8,847 | $2.91M | |
| 2022 | 15,499 | $4.02M | |
| 2023 | 12,311 | $3.97M | |
| 2024incomplete | 13,620 | $5.05M |
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% | 60,128 | 21,585 | $24.81M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | 15 | $10K |
| D1110 | Prophylaxis - adult | 0% | 418 | 213 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 404 | 324 | $0.00 |
| V2020 | Frames, purchases | 0% | 55 | 48 | $0.00 |
| 80305 | 0% | 12 | 12 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 49 | 46 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 607 | 270 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 190 | 99 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 227 | 191 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 27 | 27 | $0.00 |
| D0190 | 0% | 773 | 353 | $0.00 |
32 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 32 | $0.00 |
| 92015 | Determination of refractive state | 0% | 111 | $0.00 |
| 84439 | 0% | 14 | $0.00 | |
| H0022 | Alcohol and/or drug intervention service (planned facilitation) | 0% | 29 | $0.00 |
| 81003 | 0% | 71 | $0.00 | |
| 81025 | 0% | 14 | $0.00 | |
| 0054A | 0% | 51 | $0.00 | |
| 0013A | 0% | 17 | $0.00 | |
| 90734 | 0% | 17 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 101 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 1,063 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 164 | $0.00 |
| 99000 | 0% | 554 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 130 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 766 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 255 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 415 | $0.00 |
| 90480 | 0% | 15 | $0.00 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 0% | 479 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 698 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 852 | $0.00 |
| D1310 | 0% | 795 | $0.00 | |
| 87428 | 0% | 413 | $0.00 | |
| 90686 | 0% | 81 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 63 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 73 | $0.00 |
| D1330 | 0% | 802 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 152 | $0.00 |
| 36416 | 0% | 35 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 122 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 37 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 15 | $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 officialPISHION, JON (HEALTH DIRECTOR)
Parent organizationFALLON PAIUTE-SHOSHONE TRIBE