Clinic
Siskiyou Community Health Center, INC
Siskiyou Community Health Center, INC was paid $5.36M by Medicaid between Jan 2018 and Nov 2024, across 96 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoSISKIYOU COMMUNITY HEALTH CENTER, INC
GRANTS PASS, OR 97526
GRANTS PASS, OR 97526
33aNPI1427046903assigned 10/10/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5.36M
24GClaims357,441
24DCodes billed96
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Oregon
Rank by total paid#12 of 90
Median peer was paid$254K
This provider vs. median21×
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 | 45,505 | $591K | |
| 2019 | 45,533 | $600K | |
| 2020 | 44,074 | $627K | |
| 2021 | 54,570 | $980K | |
| 2022 | 49,439 | $863K | |
| 2023 | 59,017 | $879K | |
| 2024incomplete | 59,303 | $825K |
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 | 23% | 75,422 | 68,757 | $1.25M |
| 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 | 8.8% | 53,516 | 48,621 | $472K |
| D0140 | Limited oral evaluation - problem focused | 7.6% | 10,334 | 9,854 | $410K |
| D1110 | Prophylaxis - adult | 6.1% | 8,089 | 7,771 | $327K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.8% | 5,652 | 4,192 | $309K |
| D7140 | Extraction, erupted tooth or exposed root | 5.0% | 3,407 | 1,744 | $266K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.6% | 7,630 | 7,379 | $196K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 4,877 | 4,685 | $192K |
| D1206 | Topical application of fluoride varnish | 3.5% | 14,436 | 13,860 | $188K |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 17,123 | 16,406 | $155K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.8% | 2,688 | 2,498 | $153K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 3,184 | 2,295 | $138K |
84 more codes
| D0274 | Bitewings - four radiographic images | 2.6% | 7,208 | $138K |
| D0210 | Intraoral - complete series of radiographic images | 1.9% | 2,644 | $100K |
| D4910 | 1.8% | 1,732 | $99K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 5,581 | $90K |
| 36415 | Collection of venous blood by venipuncture | 1.3% | 28,355 | $68K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 12,961 | $67K |
| D1120 | Dental cleaning, child | 1.1% | 1,892 | $60K |
| 80053 | Comprehensive metabolic panel | 1.1% | 12,366 | $60K |
| 80061 | Lipid panel | <1% | 8,381 | $50K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 735 | $41K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,631 | $36K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 538 | $36K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 7,957 | $35K |
| D0270 | <1% | 4,412 | $35K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 9,168 | $33K |
| 90686 | <1% | 2,206 | $30K | |
| 80306 | <1% | 2,178 | $29K | |
| 0012A | <1% | 708 | $24K | |
| 0011A | <1% | 660 | $24K | |
| 91322 | <1% | 257 | $22K | |
| 0001A | <1% | 463 | $17K | |
| 0064A | <1% | 565 | $17K | |
| 0002A | <1% | 420 | $17K | |
| G0467 | Community health center visit, returning patient | <1% | 4,863 | $15K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 800 | $15K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 317 | $13K |
| D0191 | <1% | 2,031 | $12K | |
| 90837 | Psychotherapy session, about an hour | <1% | 1,326 | $10K |
| D1351 | Sealant - per tooth | <1% | 2,809 | $10K |
| 0004A | <1% | 287 | $9K | |
| 0031A | <1% | 237 | $9K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 653 | $8K |
| 0124A | <1% | 226 | $6K | |
| 90480 | <1% | 250 | $6K | |
| 0134A | <1% | 229 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 631 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 609 | $5K |
| 90688 | <1% | 474 | $5K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 124 | $4K |
| 81003 | <1% | 3,486 | $4K | |
| 0071A | <1% | 93 | $4K | |
| 0054A | <1% | 115 | $4K | |
| D4342 | <1% | 58 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 210 | $3K |
| 90656 | <1% | 156 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 285 | $2K |
| 0072A | <1% | 86 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 56 | $2K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 16 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 96 | $2K |
| 90715 | <1% | 67 | $1K | |
| D4341 | <1% | 20 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 140 | $1K |
| 82044 | <1% | 446 | $1K | |
| D2331 | <1% | 15 | $940.62 | |
| 82570 | <1% | 421 | $926.49 | |
| Q3014 | Telehealth originating site facility fee | <1% | 78 | $652.68 |
| D4355 | <1% | 12 | $582.15 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 149 | $569.62 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 82 | $541.50 |
| 90836 | <1% | 484 | $499.19 | |
| D1354 | <1% | 109 | $493.00 | |
| D0330 | Panoramic radiographic image | <1% | 13 | $452.20 |
| 0003A | <1% | 16 | $432.00 | |
| 99201 | <1% | 13 | $377.02 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 72 | $359.21 |
| D2940 | <1% | 16 | $297.00 | |
| 99384 | <1% | 12 | $270.75 | |
| 90662 | <1% | 44 | $267.12 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,649 | $112.90 |
| 81001 | <1% | 66 | $78.19 | |
| D0603 | <1% | 9,314 | $30.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 13 | $19.88 |
| 99442 | <1% | 28 | $12.24 | |
| 99000 | <1% | 701 | $9.05 | |
| D1330 | 0% | 2,012 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 243 | $0.00 |
| 92551 | 0% | 177 | $0.00 | |
| D9995 | 0% | 12 | $0.00 | |
| D0602 | 0% | 17 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 43 | $0.00 |
| D1310 | 0% | 16 | $0.00 | |
| 99473 | 0% | 16 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 26 | $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 officialVAN HOUTEN, ERIC (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Willamette Community Health Solutions | Eugene, OR | $622K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.