Clinic
Quileute Tribal Council
Quileute Tribal Council was paid $3.28M by Medicaid between Jan 2018 and Oct 2024, across 35 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoQUILEUTE TRIBAL COUNCIL
LAPUSH, WA 98350
LAPUSH, WA 98350
33aNPI1548329105assigned 12/08/2006
33bProvider typeClinic/Center
28Total paid$3.28M
24GClaims15,360
24DCodes billed35
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Clinic/Center providers in Washington
Rank by total paid#19 of 113
Median peer was paid$110K
This provider vs. median30×
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 | 5,677 | $824K | |
| 2019 | 4,315 | $828K | |
| 2020 | 679 | $167K | |
| 2021 | 1,406 | $316K | |
| 2022 | 897 | $313K | |
| 2023 | 1,356 | $484K | |
| 2024incomplete | 1,030 | $343K |
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 | 95% | 7,914 | 5,508 | $3.10M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 1,609 | 1,242 | $44K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.0% | 472 | 220 | $33K |
| 96153 | <1% | 445 | 173 | $25K | |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | <1% | 283 | 230 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 680 | 525 | $16K |
| 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% | 187 | 170 | $9K |
| D1206 | Topical application of fluoride varnish | <1% | 482 | 470 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 353 | 310 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 583 | 505 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 276 | 269 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 79 | 79 | $2K |
23 more codes
| D1110 | Prophylaxis - adult | <1% | 56 | $1K |
| 94760 | <1% | 723 | $1K | |
| D0274 | Bitewings - four radiographic images | <1% | 111 | $953.99 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 62 | $923.75 |
| 0002A | <1% | 20 | $720.00 | |
| 0001A | <1% | 23 | $720.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 14 | $629.29 |
| 0011A | <1% | 85 | $592.90 | |
| 92587 | <1% | 52 | $548.08 | |
| 0071A | <1% | 14 | $480.00 | |
| 0064A | <1% | 14 | $320.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 24 | $205.87 |
| 36415 | Collection of venous blood by venipuncture | <1% | 17 | $38.72 |
| D0190 | 0% | 313 | $0.00 | |
| D0191 | 0% | 91 | $0.00 | |
| 91300 | 0% | 43 | $0.00 | |
| 99173 | 0% | 50 | $0.00 | |
| 91306 | 0% | 14 | $0.00 | |
| D1330 | 0% | 70 | $0.00 | |
| Q2039 | Influenza virus vaccine, not otherwise specified | 0% | 54 | $0.00 |
| 91307 | 0% | 14 | $0.00 | |
| 91301 | 0% | 95 | $0.00 | |
| T1002 | Rn services, up to 15 minutes | 0% | 38 | $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 officialWINGER, JOLENE (HEALTH DIRECTOR)