Clinic
Waterfall Clinic, Incorporated
Waterfall Clinic, Incorporated was paid $1K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoWATERFALL CLINIC, INCORPORATED
COOS BAY, OR 97420
COOS BAY, OR 97420
33aNPI1508133299assigned 11/23/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1K
24GClaims8,788
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Oregon
Rank by total paid#75 of 90
Median peer was paid$254K
This provider vs. median0.0×
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 | 594 | $0.00 | |
| 2019 | 1,274 | $0.00 | |
| 2020 | 2,292 | $1.09 | |
| 2021 | 2,374 | $209.80 | |
| 2022 | 775 | $92.38 | |
| 2023 | 691 | $209.58 | |
| 2024incomplete | 788 | $527.61 |
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 | 34% | 1,927 | 1,696 | $349.30 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 27% | 517 | 484 | $285.50 |
| 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 | 18% | 3,284 | 2,924 | $191.24 |
| 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 | 13% | 999 | 715 | $136.05 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.9% | 218 | 197 | $40.77 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 2.9% | 41 | 38 | $30.00 |
| 87210 | <1% | 310 | 277 | $4.07 | |
| 96160 | <1% | 498 | 474 | $3.53 | |
| 99205 | Prolong outpt/office vis | 0% | 29 | 25 | $0.00 |
| 90688 | 0% | 14 | 14 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 22 | 22 | $0.00 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 0% | 335 | 237 | $0.00 |
3 more codes
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 officialMCFERON, AVA (CEO ASST.)
Parent organizationWATERFALL CLINIC, INCORPORATED