Clinic
Waterfall Clinic Incorporated
Waterfall Clinic Incorporated was paid $605K by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoWATERFALL CLINIC INCORPORATED
NORTH BEND, OR 97459
NORTH BEND, OR 97459
33aNPI1619915113assigned 06/04/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$605K
24GClaims62,572
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Oregon
Rank by total paid#37 of 90
Median peer was paid$254K
This provider vs. median2.4×
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 | 9,927 | $88K | |
| 2019 | 8,683 | $106K | |
| 2020 | 6,205 | $42K | |
| 2021 | 7,860 | $68K | |
| 2022 | 8,994 | $80K | |
| 2023 | 11,761 | $137K | |
| 2024incomplete | 9,142 | $83K |
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 | 33% | 15,979 | 13,626 | $198K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 27% | 10,795 | 6,826 | $162K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 14% | 2,587 | 1,422 | $86K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 13,240 | 11,400 | $67K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.8% | 1,501 | 1,111 | $41K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.8% | 1,458 | 1,332 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 1,117 | 958 | $11K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 1.3% | 56 | 50 | $8K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 686 | 656 | $5K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 270 | 250 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 678 | 588 | $1K |
| 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 | <1% | 6,741 | 4,833 | $1K |
26 more codes
| 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% | 159 | $958.84 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 133 | $697.02 |
| 0012A | <1% | 12 | $632.07 | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 2,299 | $600.30 |
| 98968 | <1% | 127 | $398.90 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 385 | $317.20 |
| 99205 | Prolong outpt/office vis | <1% | 65 | $302.49 |
| 0011A | <1% | 12 | $160.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 30 | $51.31 |
| 90715 | <1% | 38 | $40.69 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 24 | $24.53 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 221 | $24.52 |
| 90688 | <1% | 205 | $16.00 | |
| 81003 | <1% | 131 | $0.28 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | $0.01 |
| 98967 | 0% | 13 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 242 | $0.00 |
| 90674 | 0% | 12 | $0.00 | |
| 96156 | 0% | 17 | $0.00 | |
| 96160 | 0% | 3,099 | $0.00 | |
| 81025 | 0% | 30 | $0.00 | |
| 96158 | 0% | 36 | $0.00 | |
| 82274 | 0% | 30 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 42 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 14 | $0.00 |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutes | 0% | 73 | $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 officialTRENNER, ANDREA (EXECUTIVE DIRECTOR/CEO)
| Provider | Location | Paid |
|---|---|---|
| Waterfall Clinic Incorporated | North Bend, OR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.