Clinic
Warm Springs Health and Wellness DHHS Ihs Warm Springs Service Unit
Warm Springs Health and Wellness DHHS Ihs Warm Springs Service Unit was paid $21.12M by Medicaid between Jan 2018 and Nov 2024, across 84 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoWARM SPRINGS HEALTH AND WELLNESS DHHS IHS WARM SPRINGS SERVICE UNIT
WARM SPRINGS, OR 97761
WARM SPRINGS, OR 97761
33aNPI1417084708assigned 02/27/2007
33bProvider typeClinic/Center
28Total paid$21.12M
24GClaims110,151
24DCodes billed84
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Oregon
Rank by total paid#3 of 167
Median peer was paid$141K
This provider vs. median150×
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 | 22,454 | $3.57M | |
| 2019 | 16,365 | $3.02M | |
| 2020 | 15,867 | $3.77M | |
| 2021 | 17,365 | $4.69M | |
| 2022 | 15,659 | $3.17M | |
| 2023 | 13,484 | $1.77M | |
| 2024incomplete | 8,957 | $1.15M |
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 | 33% | 22,679 | 16,035 | $7.06M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 33% | 18,668 | 13,940 | $6.87M |
| D0140 | Limited oral evaluation - problem focused | 9.0% | 6,400 | 4,530 | $1.90M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 5.8% | 3,914 | 2,744 | $1.22M |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 2,393 | 1,507 | $700K |
| D0191 | 2.9% | 1,646 | 1,387 | $616K | |
| 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 | 2.3% | 1,335 | 986 | $489K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 3,905 | 2,983 | $337K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.1% | 1,017 | 809 | $233K |
| 99441 | 1.1% | 599 | 483 | $225K | |
| 0011A | <1% | 395 | 335 | $163K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 4,218 | 3,019 | $148K |
72 more codes
| 0012A | <1% | 421 | $148K | |
| D1354 | <1% | 4,466 | $98K | |
| D9995 | <1% | 470 | $90K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 210 | $83K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 473 | $79K |
| 98966 | <1% | 156 | $66K | |
| 0064A | <1% | 137 | $62K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 236 | $61K |
| D1120 | Dental cleaning, child | <1% | 635 | $52K |
| 0071A | <1% | 93 | $43K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 181 | $39K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 89 | $38K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 5,904 | $37K |
| 0072A | <1% | 73 | $35K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,909 | $26K |
| 0002A | <1% | 48 | $24K | |
| 0001A | <1% | 47 | $24K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 117 | $23K |
| D9310 | <1% | 179 | $19K | |
| 92002 | <1% | 54 | $18K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 122 | $16K |
| 99442 | <1% | 41 | $14K | |
| D1351 | Sealant - per tooth | <1% | 3,029 | $13K |
| D0274 | Bitewings - four radiographic images | <1% | 1,207 | $11K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 143 | $10K |
| 0031A | <1% | 16 | $8K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,356 | $7K |
| 90686 | <1% | 659 | $6K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 29 | $6K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 556 | $3K |
| D0330 | Panoramic radiographic image | <1% | 171 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 18 | $2K |
| 90688 | <1% | 20 | $1K | |
| D0190 | <1% | 322 | $1K | |
| D1110 | Prophylaxis - adult | <1% | 79 | $1K |
| D9630 | <1% | 261 | $958.00 | |
| 90480 | <1% | 19 | $719.02 | |
| 80053 | Comprehensive metabolic panel | <1% | 118 | $710.35 |
| D0270 | <1% | 128 | $444.00 | |
| 80076 | <1% | 26 | $133.56 | |
| 81003 | <1% | 112 | $131.94 | |
| 82977 | <1% | 32 | $117.60 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 18 | $109.20 |
| 83735 | <1% | 14 | $57.31 | |
| 90658 | <1% | 287 | $15.83 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 111 | $1.09 |
| D1320 | <1% | 245 | $0.30 | |
| 92015 | Determination of refractive state | <1% | 171 | $0.16 |
| G0008 | Administration of influenza virus vaccine | <1% | 17 | $0.05 |
| 87430 | 0% | 687 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 4,758 | $0.00 |
| D0603 | 0% | 2,029 | $0.00 | |
| 90645 | 0% | 49 | $0.00 | |
| D1330 | 0% | 3,342 | $0.00 | |
| 90657 | 0% | 19 | $0.00 | |
| D3120 | 0% | 85 | $0.00 | |
| 99000 | 0% | 167 | $0.00 | |
| D1310 | 0% | 1,517 | $0.00 | |
| 90656 | 0% | 56 | $0.00 | |
| 92370 | 0% | 133 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 35 | $0.00 |
| D9215 | 0% | 63 | $0.00 | |
| 90651 | 0% | 36 | $0.00 | |
| 90723 | 0% | 18 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 17 | $0.00 |
| A4208 | Syringe with needle, sterile 3 cc, each | 0% | 121 | $0.00 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 1,119 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 332 | $0.00 |
| 91322 | 0% | 17 | $0.00 | |
| D0114 | 0% | 63 | $0.00 | |
| 90670 | 0% | 73 | $0.00 | |
| D9110 | 0% | 21 | $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 officialPREVOST, CAROL (CHIEF EXECUTIVE OFFICER)