Dental
Greenville Rancheria
Greenville Rancheria was paid $60.51M by Medicaid between Jan 2018 and Nov 2024, across 53 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 74% of everything it billed.
33Billing provider infoGREENVILLE RANCHERIA
RED BLUFF, CA 96080
RED BLUFF, CA 96080
33aNPI1568455053assigned 08/30/2005
33bProvider typeDentist
28Total paid$60.51M
24GClaims330,884
24DCodes billed53
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1 of 2,314
Median peer was paid$185K
This provider vs. median326×
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 | 38,369 | $6.75M | |
| 2019 | 46,352 | $7.21M | |
| 2020 | 51,877 | $6.99M | |
| 2021 | 51,569 | $7.64M | |
| 2022 | 49,259 | $9.67M | |
| 2023 | 32,695 | $9.53M | |
| 2024incomplete | 60,763 | $12.73M |
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 | 74% | 78,254 | 39,929 | $44.89M |
| 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% | 32,765 | 17,757 | $8.14M |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 3.8% | 33,526 | 6,815 | $2.31M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.1% | 28,792 | 24,185 | $1.85M |
| 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 | 2.1% | 17,442 | 14,841 | $1.27M |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 1,635 | 1,142 | $474K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 13,044 | 4,091 | $352K |
| A0390 | Als mileage (per mile) | <1% | 6,353 | 2,237 | $290K |
| 97750 | <1% | 3,384 | 2,369 | $206K | |
| A0130 | Non-emergency transportation: wheelchair van | <1% | 3,053 | 989 | $203K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 33,831 | 6,862 | $162K |
| A0380 | Bls mileage (per mile) | <1% | 3,059 | 989 | $124K |
41 more codes
| 0900 | <1% | 1,024 | $60K | |
| G0469 | Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new 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 mental health visit | <1% | 103 | $51K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,545 | $49K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 401 | $29K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,152 | $19K |
| G0466 | Community health center visit, new patient | <1% | 28 | $12K |
| T2007 | Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments | <1% | 106 | $8K |
| 97035 | <1% | 31,270 | $2K | |
| 97014 | <1% | 31,544 | $1K | |
| 82962 | <1% | 309 | $913.86 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 613 | $895.05 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 386 | $495.87 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,028 | $495.87 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 654 | $427.00 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 68 | $19.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 412 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 27 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 422 | $0.00 |
| 90686 | 0% | 399 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 417 | $0.00 |
| 001 | Comm hlth intg svs add 30 m | 0% | 46 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 134 | $0.00 |
| 92551 | 0% | 48 | $0.00 | |
| 90688 | 0% | 31 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 26 | $0.00 |
| 88142 | 0% | 13 | $0.00 | |
| 90694 | 0% | 14 | $0.00 | |
| 88738 | 0% | 73 | $0.00 | |
| 99173 | 0% | 108 | $0.00 | |
| 90662 | 0% | 41 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 141 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 436 | $0.00 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 285 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 80 | $0.00 |
| 90715 | 0% | 12 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 33 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 117 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 130 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 34 | $0.00 |
| 81003 | 0% | 16 | $0.00 | |
| 97164 | 0% | 20 | $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 officialALSPAUGH, MARGARET (EXECUTIVE DIRECTOR)
Parent organizationGREENVILLE RANCHERIA
| Provider | Location | Paid |
|---|---|---|
| Greenville Rancheria | Red Bluff, CA | $28.79M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.