Clinic
Eastern Plumas Health Care District
Eastern Plumas Health Care District was paid $288K by Medicaid between May 2018 and Jul 2019, across 4 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 71% of everything it billed.
33Billing provider infoEASTERN PLUMAS HEALTH CARE DISTRICT
PORTOLA, CA 96122
PORTOLA, CA 96122
33aNPI1073990925assigned 04/29/2015
33bProvider typeRural Health Clinic/Center
28Total paid$288K
24GClaims1,869
24DCodes billed4
24AFirst – last monthMay 2018 – Jul 2019
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#190 of 215
Median peer was paid$3.62M
This provider vs. median0.1×
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 | 1,362 | $199K | |
| 2019 | 507 | $89K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 71% | 1,283 | 996 | $205K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 29% | 483 | 385 | $83K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 13 | 13 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 90 | 87 | $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 officialHAYES, THOMAS (CEO)
| Provider | Location | Paid |
|---|---|---|
| White Sulphur Springs Emergency Medical Services, INC | White Sulphur Springs, WV | $6.21M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.