Eastern Plumas Health Care District
Eastern Plumas Health Care District was paid $5.78M by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 45% of everything it billed.
33Billing provider infoEASTERN PLUMAS HEALTH CARE DISTRICT
PORTOLA, CA 96122
PORTOLA, CA 96122
33aNPI1114923919assigned 06/27/2005
33bProvider typeCase Manager/Care Coordinator
28Total paid$5.78M
24GClaims55,686
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#173 of 435
Median peer was paid$2.89M
This provider vs. median2.0×
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 | 6,955 | $703K | |
| 2019 | 8,870 | $902K | |
| 2020 | 9,780 | $955K | |
| 2021 | 9,474 | $984K | |
| 2022 | 8,795 | $821K | |
| 2023 | 6,609 | $742K | |
| 2024incomplete | 5,203 | $671K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 45% | 13,879 | 10,593 | $2.61M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 44% | 15,371 | 13,739 | $2.55M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 13,959 | 9,068 | $279K |
| 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 | 3.0% | 6,666 | 4,583 | $176K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 220 | 164 | $55K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,131 | 609 | $37K |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 1,421 | 730 | $19K |
| Q3014 | Telehealth originating site facility fee | <1% | 896 | 815 | $17K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 319 | 253 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 640 | 371 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 387 | 375 | $3K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 89 | 37 | $3K |
15 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 118 | $2K |
| 92552 | <1% | 187 | $2K | |
| 90686 | <1% | 69 | $1K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 42 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 93 | $823.05 |
| 59425 | <1% | 12 | $725.76 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $448.68 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 20 | $445.90 |
| 92015 | Determination of refractive state | <1% | 30 | $241.36 |
| 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 | <1% | 29 | $212.16 |
| 90715 | <1% | 15 | $162.53 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | $66.90 |
| 81000 | <1% | 26 | $44.42 | |
| 85018 | <1% | 14 | $6.99 | |
| 99172 | 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 officialNELSON, JERILEE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Eastern Plumas Health Care District | Portola, CA | $1.29M |
| Eastern Plumas Health Care District | Loyalton, CA | $560K |
| Eastern Plumas Health Care District | Graeagle, CA | $273K |
| Eastern Plumas Health Care | Portola, CA | $75K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.