Clinic
Lake County Tribal Health Consortium, INC.
Lake County Tribal Health Consortium, INC. was paid $28.50M by Medicaid between Jan 2018 and Nov 2024, across 50 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoLAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC.
LAKEPORT, CA 95453
LAKEPORT, CA 95453
33aNPI1215327804assigned 02/03/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$28.50M
24GClaims106,188
24DCodes billed50
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#129 of 826
Median peer was paid$4.05M
This provider vs. median7.0×
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 | 24,041 | $3.21M | |
| 2019 | 13,462 | $3.77M | |
| 2020 | 12,175 | $3.11M | |
| 2021 | 12,949 | $3.88M | |
| 2022 | 14,219 | $4.75M | |
| 2023 | 13,825 | $4.15M | |
| 2024incomplete | 15,517 | $5.62M |
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 | 100% | 51,461 | 41,303 | $28.46M |
| 0520 | <1% | 336 | 73 | $38K | |
| 99173 | <1% | 4,175 | 4,113 | $1.94 | |
| 92551 | <1% | 4,205 | 4,135 | $0.78 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,778 | 1,758 | $0.00 |
| 86703 | 0% | 106 | 106 | $0.00 | |
| 90633 | 0% | 1,524 | 1,473 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 2,272 | 2,155 | $0.00 |
| 90710 | 0% | 1,345 | 1,313 | $0.00 | |
| 90700 | 0% | 495 | 478 | $0.00 | |
| 90707 | 0% | 18 | 18 | $0.00 | |
| 90670 | 0% | 2,301 | 2,182 | $0.00 |
38 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 1,786 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 204 | $0.00 |
| 90734 | 0% | 479 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,813 | $0.00 |
| 81025 | 0% | 317 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,101 | $0.00 |
| 83655 | 0% | 375 | $0.00 | |
| 81002 | 0% | 840 | $0.00 | |
| 90715 | 0% | 341 | $0.00 | |
| 90685 | 0% | 289 | $0.00 | |
| 85014 | 0% | 1,070 | $0.00 | |
| 99401 | 0% | 13 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 41 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 53 | $0.00 |
| H1003 | Prenatal care, at-risk enhanced service; education | 0% | 23 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 3,350 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 159 | $0.00 |
| 90686 | 0% | 2,345 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 600 | $0.00 |
| 85018 | 0% | 1,283 | $0.00 | |
| 90647 | 0% | 1,790 | $0.00 | |
| 90680 | 0% | 1,477 | $0.00 | |
| 90723 | 0% | 1,908 | $0.00 | |
| 99381 | 0% | 196 | $0.00 | |
| 90696 | 0% | 380 | $0.00 | |
| 36416 | 0% | 1,265 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 26 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 10,072 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 357 | $0.00 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 17 | $0.00 |
| 99000 | 0% | 641 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 678 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 177 | $0.00 |
| 90651 | 0% | 611 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 28 | $0.00 |
| 90716 | 0% | 20 | $0.00 | |
| 99384 | 0% | 16 | $0.00 | |
| 99383 | 0% | 31 | $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 officialPADILLA, ERNESTO (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Lake County Tribal Health Consortium INC. | Lakeport, CA | $140.63M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.