Clinic
Shingle Springs Rancheria
Shingle Springs Rancheria was paid $69.05M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 54% of everything it billed.
33Billing provider infoSHINGLE SPRINGS RANCHERIA
PLACERVILLE, CA 95667
PLACERVILLE, CA 95667
33aNPI1245356674assigned 03/21/2007
33bProvider typeHealth Service Clinic/Center
28Total paid$69.05M
24GClaims174,099
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Service Clinic/Center providers in California
Rank by total paid#1 of 87
Median peer was paid$88K
This provider vs. median784×
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 | 24,840 | $9.52M | |
| 2019 | 24,893 | $8.74M | |
| 2020 | 23,302 | $7.37M | |
| 2021 | 24,018 | $7.35M | |
| 2022 | 22,517 | $11.01M | |
| 2023 | 24,870 | $12.10M | |
| 2024incomplete | 29,659 | $12.96M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 54% | 69,685 | 54,669 | $37.43M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 32% | 41,290 | 28,983 | $21.88M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.7% | 21,897 | 19,053 | $3.22M |
| 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 | 2.8% | 6,321 | 4,764 | $1.90M |
| 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% | 6,176 | 5,719 | $1.04M |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 1.4% | 1,596 | 1,139 | $987K |
| 97810 | <1% | 785 | 504 | $564K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,414 | 5,877 | $495K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 3,385 | 2,455 | $336K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,584 | 835 | $141K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,300 | 1,007 | $122K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 793 | 639 | $119K |
42 more codes
| 98940 | <1% | 197 | $119K | |
| 0561 | <1% | 516 | $116K | |
| 3074F | <1% | 1,735 | $97K | |
| 97813 | <1% | 127 | $91K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 404 | $75K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 983 | $56K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 377 | $46K |
| 3077F | <1% | 430 | $36K | |
| 97035 | <1% | 161 | $28K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 279 | $21K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 104 | $20K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 749 | $15K |
| 90686 | <1% | 879 | $13K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 178 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 27 | $12K |
| 3075F | <1% | 281 | $11K | |
| 99442 | <1% | 735 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 777 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 28 | $7K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 60 | $5K |
| 90688 | <1% | 93 | $4K | |
| 80305 | <1% | 205 | $2K | |
| 0001A | <1% | 55 | $2K | |
| 0002A | <1% | 52 | $2K | |
| 3078F | <1% | 1,622 | $2K | |
| 81003 | <1% | 199 | $1K | |
| 0510 | <1% | 71 | $1K | |
| 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% | 35 | $853.85 |
| 0900 | <1% | 262 | $479.00 | |
| 90651 | <1% | 12 | $427.00 | |
| 90715 | <1% | 27 | $427.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 121 | $313.07 |
| 85018 | 0% | 14 | $0.00 | |
| 3079F | 0% | 580 | $0.00 | |
| 0520 | 0% | 33 | $0.00 | |
| 3080F | 0% | 245 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 12 | $0.00 |
| 97161 | 0% | 65 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 42 | $0.00 |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 0% | 63 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 25 | $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 officialCUELLAR, REGINA (TRIBAL CHAIR)