Jamestown S'klallam Tribe

Jamestown S'klallam Tribe was paid $21.75M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 84% of everything it billed.

33Billing provider infoJAMESTOWN S'KLALLAM TRIBE
SEQUIM, WA 98382

33aNPI1477630507assigned 11/01/2006

33bProvider typeFederally Qualified Health Center (FQHC)

28Total paid$21.75M

24GClaims189,011

24DCodes billed27

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Washington

Rank by total paid#7 of 162

Median peer was paid$704K

This provider vs. median31×

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	29,511	$2.54M
2019	25,934	$2.53M
2020	22,160	$2.12M
2021	27,575	$2.95M
2022	27,730	$3.60M
2023	29,215	$3.98M
2024incomplete	26,886	$4.04M

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	84%	43,622	39,781	$18.31M
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.5%	21,573	21,135	$547K
D2930	Prefabricated stainless steel crown - primary tooth	2.2%	3,814	1,416	$473K
D1120	Dental cleaning, childProphylaxis - child	1.9%	17,837	17,441	$403K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1.6%	5,174	3,132	$340K
D1206	Topical application of fluoride varnish	1.4%	15,994	15,928	$304K
D1351	Sealant - per tooth	<1%	9,756	3,002	$198K
D1110	Prophylaxis - adult	<1%	5,979	5,823	$197K
D7140	Extraction, erupted tooth or exposed root	<1%	2,798	1,408	$154K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	2,589	1,864	$134K
D0220	Intraoral - periapical first radiographic image	<1%	14,240	13,890	$114K
D0150	Comprehensive oral evaluation - new or established patient	<1%	2,475	2,414	$95K

15 more codes

D0272	Bitewings - two radiographic images	<1%	9,756	$94K
D1208	Topical application of fluoride, excluding varnish	<1%	5,100	$72K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	2,982	$64K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	<1%	751	$63K
D0330	Panoramic radiographic image	<1%	1,597	$59K
D0274	Bitewings - four radiographic images	<1%	4,010	$54K
D0230	Intraoral - periapical each additional radiographic image	<1%	16,474	$37K
D0140	Limited oral evaluation - problem focused	<1%	915	$17K
D2331		<1%	116	$9K
D0270		<1%	1,112	$8K
D4341		<1%	19	$822.12
D1354		<1%	256	$814.20
D4910		<1%	12	$368.00
D0210	Intraoral - complete series of radiographic images	<1%	12	$354.20
D3120		0%	48	$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 officialALLEN, W. (TRIBAL CHAIRMAN/EXECUTIVE DIRECTOR)

Same official

Other billing entities under ALLEN, W.

Full network →

Provider	Location	Paid
Jamestown S'klallam Tribe	Sequim, WA	$30.00M
Jamestown S'klallam Tribe	Sequim, WA	$2.85M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.