Clinic
Southern Indian Health Council
Southern Indian Health Council was paid $17.08M by Medicaid between Jan 2018 and Nov 2024, across 46 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 60% of everything it billed.
33Billing provider infoSOUTHERN INDIAN HEALTH COUNCIL
ALPINE, CA 91901
ALPINE, CA 91901
33aNPI1346247947assigned 06/28/2005
33bProvider typeClinic/Center
28Total paid$17.08M
24GClaims53,049
24DCodes billed46
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#44 of 504
Median peer was paid$102K
This provider vs. median168×
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 | 6,330 | $2.13M | |
| 2019 | 5,531 | $1.69M | |
| 2020 | 5,310 | $1.80M | |
| 2021 | 6,642 | $2.21M | |
| 2022 | 10,641 | $3.30M | |
| 2023 | 10,755 | $3.17M | |
| 2024incomplete | 7,840 | $2.77M |
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 | 60% | 18,834 | 15,793 | $10.30M |
| 00003 | Internal/system code - not a standard HCPCS code | 37% | 11,944 | 9,234 | $6.29M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 6,156 | 5,728 | $242K |
| 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 | 1.3% | 3,518 | 3,298 | $214K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 616 | 560 | $22K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 217 | 206 | $3K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 129 | 75 | $2K |
| 99443 | <1% | 14 | 14 | $2K | |
| 99000 | <1% | 795 | 755 | $1K | |
| 99442 | <1% | 13 | 13 | $1K | |
| 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 | <1% | 45 | 32 | $845.57 |
| 36415 | Collection of venous blood by venipuncture | <1% | 532 | 520 | $640.00 |
34 more codes
| 3078F | 0% | 1,812 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 28 | $0.00 |
| 3077F | 0% | 104 | $0.00 | |
| 99173 | 0% | 135 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 886 | $0.00 |
| 1160F | 0% | 62 | $0.00 | |
| 96160 | 0% | 110 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 42 | $0.00 |
| 81003 | 0% | 75 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 12 | $0.00 |
| 90461 | 0% | 12 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 12 | $0.00 |
| 3074F | 0% | 1,889 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,443 | $0.00 |
| 1000F | 0% | 50 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 65 | $0.00 |
| 3079F | 0% | 332 | $0.00 | |
| 92551 | 0% | 126 | $0.00 | |
| 3008F | 0% | 571 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 616 | $0.00 |
| 85018 | 0% | 138 | $0.00 | |
| 96156 | 0% | 208 | $0.00 | |
| 3075F | 0% | 197 | $0.00 | |
| 90686 | 0% | 70 | $0.00 | |
| 1036F | 0% | 28 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 71 | $0.00 |
| 1126F | 0% | 28 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 32 | $0.00 |
| 36416 | 0% | 16 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 17 | $0.00 |
| 99406 | 0% | 12 | $0.00 | |
| 3080F | 0% | 12 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 13 | $0.00 |
| 90674 | 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 officialKING, TERRANCE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Southern Indian Health Council | Campo, CA | $3.01M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.