Confederated Tribes of the Grand Ronde Community of Oregon
Confederated Tribes of the Grand Ronde Community of Oregon was paid $18.57M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 40% of everything it billed.
33Billing provider infoCONFEDERATED TRIBES OF THE GRAND RONDE COMMUNITY OF OREGON
GRAND RONDE, OR 97347
GRAND RONDE, OR 97347
33aNPI1174666358assigned 02/15/2007
33bProvider typeOptometrist
28Total paid$18.57M
24GClaims204,522
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Oregon
Rank by total paid#1 of 215
Median peer was paid$33K
This provider vs. median564×
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 | 4,263 | $1.14M | |
| 2019 | 4,815 | $1.36M | |
| 2020 | 3,021 | $1.11M | |
| 2021 | 14,890 | $1.30M | |
| 2022 | 49,529 | $1.76M | |
| 2023 | 74,333 | $3.54M | |
| 2024incomplete | 53,671 | $8.37M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 40% | 150,888 | 12,101 | $7.47M |
| 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 | 13% | 9,463 | 8,409 | $2.50M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 6,882 | 6,214 | $1.99M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 9.6% | 11,456 | 8,120 | $1.79M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.5% | 1,709 | 966 | $843K |
| D0140 | Limited oral evaluation - problem focused | 3.6% | 1,349 | 1,271 | $660K |
| D1110 | Prophylaxis - adult | 3.2% | 1,193 | 1,153 | $593K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.1% | 1,198 | 1,139 | $575K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 2.6% | 6,878 | 3,416 | $486K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.7% | 552 | 534 | $310K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.0% | 472 | 467 | $195K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.0% | 406 | 358 | $194K |
25 more codes
| H0038 | Self-help/peer services, per 15 minutes | <1% | 2,407 | $180K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 330 | $166K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 627 | $91K |
| 0012A | <1% | 522 | $80K | |
| J0575 | Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine | <1% | 4,186 | $78K |
| 0011A | <1% | 527 | $77K | |
| H0001 | Alcohol and/or drug assessment | <1% | 445 | $74K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 143 | $49K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 76 | $38K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 84 | $33K |
| S0215 | Non-emergency transportation; mileage, per mile | <1% | 487 | $21K |
| 0064A | <1% | 94 | $19K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 469 | $15K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 400 | $14K |
| H0006 | Alcohol and/or drug services; case management | <1% | 552 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 101 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $6K |
| 0134A | <1% | 13 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 45 | $2K |
| 80053 | Comprehensive metabolic panel | <1% | 156 | $863.99 |
| 90674 | <1% | 39 | $312.79 | |
| G0008 | Administration of influenza virus vaccine | <1% | 19 | $10.91 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 15 | $6.80 |
| D8670 | Periodic orthodontic treatment visit | 0% | 315 | $0.00 |
| V2020 | Frames, purchases | 0% | 12 | $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 officialROWE, KELLY (EXECUTIVE DIRECTOR HEALTH SERVICES)