Agency
Confederated Tribes of Siletz
Confederated Tribes of Siletz was paid $8.04M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoCONFEDERATED TRIBES OF SILETZ
SILETZ, OR 97380
SILETZ, OR 97380
33aNPI1316040249assigned 09/06/2006
33bProvider typeCase Management Agency
28Total paid$8.04M
24GClaims31,331
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Oregon
Rank by total paid#5 of 37
Median peer was paid$1.42M
This provider vs. median5.6×
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 | 3,735 | $966K | |
| 2019 | 6,897 | $1.41M | |
| 2020 | 3,727 | $1.21M | |
| 2021 | 4,416 | $1.03M | |
| 2022 | 4,990 | $1.69M | |
| 2023 | 3,782 | $984K | |
| 2024incomplete | 3,784 | $747K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 7,845 | 6,265 | $2.17M |
| 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 | 21% | 5,848 | 4,796 | $1.69M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 7.4% | 2,157 | 1,001 | $592K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 6.9% | 2,560 | 725 | $556K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 6.5% | 2,439 | 943 | $525K |
| H0006 | Alcohol and/or drug services; case management | 4.6% | 1,512 | 720 | $373K |
| 98968 | 2.8% | 872 | 354 | $223K | |
| D0140 | Limited oral evaluation - problem focused | 2.6% | 491 | 433 | $210K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 375 | 363 | $207K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.4% | 889 | 461 | $195K |
| 98967 | 2.4% | 696 | 361 | $194K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 843 | 684 | $147K |
35 more codes
| H0032 | Mental health service plan development by non-physician | 1.7% | 466 | $137K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 357 | $136K |
| D0120 | Dental checkup, returning patient | 1.5% | 335 | $120K |
| D1120 | Dental cleaning, child | 1.2% | 305 | $98K |
| 90834 | Psychotherapy session, about 45 minutes | 1.1% | 314 | $86K |
| 90837 | Psychotherapy session, about an hour | <1% | 286 | $73K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | <1% | 472 | $70K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 157 | $60K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 719 | $32K |
| 98966 | <1% | 89 | $28K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 51 | $22K |
| D1110 | Prophylaxis - adult | <1% | 53 | $21K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 39 | $16K |
| D1354 | <1% | 14 | $10K | |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 27 | $8K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 31 | $8K |
| G0659 | Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem), excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase), performed without method or drug-specific calibration, without matrix-matched quality control material, or without use of stable isotope or other universally recognized internal standard(s) for each drug, drug metabolite or drug class per specimen; qualitative or quantitative, all sources, includes specimen validity testing, per day, any number of drug classes | <1% | 213 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 16 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $6K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 15 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 15 | $3K |
| 90686 | <1% | 177 | $2K | |
| T1016 | Case management, each 15 minutes | <1% | 69 | $2K |
| 92015 | Determination of refractive state | <1% | 93 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 182 | $2K |
| D1351 | Sealant - per tooth | <1% | 30 | $1K |
| 0064A | <1% | 14 | $480.14 | |
| S0215 | Non-emergency transportation; mileage, per mile | <1% | 49 | $458.70 |
| 90480 | <1% | 12 | $166.52 | |
| D1206 | Topical application of fluoride varnish | <1% | 118 | $142.70 |
| 90863 | <1% | 16 | $118.17 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 17 | $12.60 |
| 91306 | 0% | 15 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| 0011A | 0% | 14 | $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 officialWILLIAMS, MIRANDA (HEALTH DIRECTOR)