Physician
Tuolumne Me-Wuk Indian Health Center, INC.
Tuolumne Me-Wuk Indian Health Center, INC. was paid $46.85M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 75% of everything it billed.
33Billing provider infoTUOLUMNE ME-WUK INDIAN HEALTH CENTER, INC.
SONORA, CA 95370
SONORA, CA 95370
33aNPI1124286885assigned 05/29/2008
33bProvider typeFamily Medicine Physician
28Total paid$46.85M
24GClaims118,421
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#6 of 2,511
Median peer was paid$13K
This provider vs. median3,647×
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 | 17,307 | $6.70M | |
| 2019 | 18,820 | $6.27M | |
| 2020 | 12,218 | $4.01M | |
| 2021 | 13,793 | $5.38M | |
| 2022 | 17,318 | $8.33M | |
| 2023 | 18,615 | $7.41M | |
| 2024incomplete | 20,350 | $8.74M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 75% | 65,786 | 45,477 | $35.36M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 20% | 16,776 | 14,672 | $9.53M |
| 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 | 3.4% | 3,669 | 3,358 | $1.61M |
| 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% | 10,706 | 9,796 | $189K |
| 98942 | <1% | 268 | 86 | $57K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 922 | 863 | $48K |
| 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% | 5,036 | 4,810 | $24K |
| 80305 | <1% | 535 | 502 | $15K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 351 | 348 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 302 | 302 | $2K |
| 81003 | <1% | 13 | 12 | $2K | |
| 3074F | <1% | 874 | 808 | $958.00 |
34 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 249 | $947.95 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 513 | $483.46 |
| 3075F | <1% | 220 | $479.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 98 | $123.46 |
| 90656 | <1% | 22 | $0.01 | |
| 2000F | 0% | 2,027 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 376 | $0.00 |
| 3079F | 0% | 504 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,333 | $0.00 |
| 1036F | 0% | 1,687 | $0.00 | |
| 3080F | 0% | 246 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 40 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 89 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 51 | $0.00 |
| 90686 | 0% | 259 | $0.00 | |
| 3008F | 0% | 75 | $0.00 | |
| 17000 | 0% | 25 | $0.00 | |
| 1220F | 0% | 33 | $0.00 | |
| 90688 | 0% | 43 | $0.00 | |
| 85018 | 0% | 26 | $0.00 | |
| 92551 | 0% | 14 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 892 | $0.00 |
| 3077F | 0% | 543 | $0.00 | |
| 3078F | 0% | 796 | $0.00 | |
| 99173 | 0% | 85 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 27 | $0.00 |
| 1159F | 0% | 2,128 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 141 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 344 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 38 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 26 | $0.00 |
| 2014F | 0% | 146 | $0.00 | |
| 92552 | 0% | 29 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 58 | $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 officialSHOKRAII, BECKY (CHIEF ADMINISTRATIVE OFFICE)
Parent organizationTUOLUMNE ME-WUK INDIAN HEALTH CENTER, INC.
| Provider | Location | Paid |
|---|---|---|
| Tuolumne Mewuk Indian Health Center, INC | Tuolumne, CA | $21.32M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.