Agency
Shoalwater Bay Indian Tribe
Shoalwater Bay Indian Tribe was paid $1.08M by Medicaid between Jan 2018 and Jun 2024, across 5 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoSHOALWATER BAY INDIAN TRIBE
TOKELAND, WA 98590
TOKELAND, WA 98590
33aNPI1104038926assigned 05/04/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$1.08M
24GClaims3,839
24DCodes billed5
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Washington
Rank by total paid#59 of 176
Median peer was paid$340K
This provider vs. median3.2×
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 | 1,163 | $259K | |
| 2019 | 845 | $213K | |
| 2020 | 457 | $139K | |
| 2021 | 792 | $222K | |
| 2022 | 253 | $119K | |
| 2023 | 253 | $105K | |
| 2024incomplete | 76 | $27K |
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 | 96% | 2,646 | 976 | $1.05M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 3.1% | 901 | 446 | $33K |
| 96165 | <1% | 88 | 40 | $3K | |
| 96164 | <1% | 88 | 40 | $1K | |
| 96153 | <1% | 116 | 53 | $968.60 |
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 officialJOHNSON, CAROL (TRIBAL ADMISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Shoalwater Bay Indian Tribe | Tokeland, WA | $3.02M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.