Clinic
Shoalwater Bay Tribe
Shoalwater Bay Tribe was paid $4.12M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoSHOALWATER BAY TRIBE
TOKELAND, WA 98590
TOKELAND, WA 98590
33aNPI1063624740assigned 05/04/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$4.12M
24GClaims15,662
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Washington
Rank by total paid#7 of 74
Median peer was paid$59K
This provider vs. median70×
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 | 1,668 | $235K | |
| 2019 | 2,071 | $294K | |
| 2020 | 1,794 | $397K | |
| 2021 | 2,924 | $740K | |
| 2022 | 2,619 | $815K | |
| 2023 | 2,451 | $804K | |
| 2024incomplete | 2,135 | $839K |
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 | 94% | 8,293 | 6,485 | $3.87M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.6% | 1,299 | 819 | $105K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 2,448 | 2,138 | $78K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 555 | 494 | $29K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 188 | 182 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 293 | 234 | $7K |
| 99443 | <1% | 97 | 30 | $5K | |
| 0012A | <1% | 101 | 100 | $4K | |
| 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 | <1% | 1,036 | 922 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 203 | 193 | $3K |
| 0011A | <1% | 114 | 113 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 510 | 443 | $1K |
11 more codes
| 0064A | <1% | 26 | $800.00 | |
| 90756 | <1% | 27 | $501.38 | |
| 90674 | <1% | 39 | $416.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 59 | $372.99 |
| 99441 | <1% | 17 | $291.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 46 | $230.09 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | $165.66 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 15 | $91.44 |
| 91300 | 0% | 14 | $0.00 | |
| 91301 | 0% | 242 | $0.00 | |
| 91306 | 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 officialROGERS, MICHAEL (TRIBAL ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| University Orthopaedic Services, INC | Cheektowaga, NY | $2.33M |
| Key Bridge, INC. | Key West, FL | $123K |
| Rankin Children's Group, PLLC | Brandon, MS | $79K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.