Clinic
Nehalem Bay Health Center and Pharmacy
Nehalem Bay Health Center and Pharmacy was paid $521K by Medicaid between Jan 2018 and Oct 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoNEHALEM BAY HEALTH CENTER AND PHARMACY
WHEELER, OR 97147
WHEELER, OR 97147
33aNPI1568546570assigned 10/25/2006
33bProvider typeRural Health Clinic/Center
28Total paid$521K
24GClaims10,950
24DCodes billed25
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Oregon
Rank by total paid#29 of 65
Median peer was paid$295K
This provider vs. median1.8×
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 | 1,411 | $55K | |
| 2019 | 2,116 | $104K | |
| 2020 | 1,320 | $64K | |
| 2021 | 1,411 | $62K | |
| 2022 | 2,030 | $105K | |
| 2023 | 1,776 | $92K | |
| 2024incomplete | 886 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 25% | 2,002 | 1,535 | $130K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 23% | 959 | 502 | $121K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 2,931 | 2,053 | $117K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 12% | 670 | 520 | $62K |
| 97810 | 7.1% | 1,270 | 824 | $37K | |
| 97811 | 5.0% | 1,178 | 777 | $26K | |
| 0011A | 1.1% | 144 | 144 | $6K | |
| 0012A | 1.1% | 184 | 183 | $6K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 52 | 27 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 50 | 48 | $3K |
| 91322 | <1% | 25 | 19 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 77 | 75 | $1K |
13 more codes
| 96160 | <1% | 513 | $1K | |
| 0064A | <1% | 31 | $1K | |
| 90686 | <1% | 62 | $1K | |
| 0001A | <1% | 22 | $925.27 | |
| 99442 | <1% | 30 | $880.51 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 415 | $814.27 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 35 | $733.50 |
| 0031A | <1% | 13 | $480.00 | |
| 90480 | <1% | 17 | $361.08 | |
| 90674 | <1% | 13 | $282.33 | |
| 0134A | <1% | 12 | $280.00 | |
| 0002A | <1% | 14 | $185.40 | |
| G0467 | Community health center visit, returning patient | 0% | 231 | $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 officialNELSON, GAIL (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| White Mountain Ambulance Service, INC. | Springerville, AZ | $1.94M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.