Behavioral
Tuolumne Mewuk Indian Health Center, INC
Tuolumne Mewuk Indian Health Center, INC was paid $21.32M by Medicaid between Jan 2018 and Nov 2024, across 63 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 82% of everything it billed.
33Billing provider infoTUOLUMNE MEWUK INDIAN HEALTH CENTER, INC
TUOLUMNE, CA 95379
TUOLUMNE, CA 95379
33aNPI1619952397assigned 12/14/2005
33bProvider typeCounseling Psychologist
28Total paid$21.32M
24GClaims80,008
24DCodes billed63
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Counseling Psychologist providers in California
Rank by total paid#1 of 24
Median peer was paid$51K
This provider vs. median419×
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 | 8,012 | $2.33M | |
| 2019 | 6,920 | $1.50M | |
| 2020 | 10,090 | $2.10M | |
| 2021 | 14,542 | $3.13M | |
| 2022 | 11,021 | $3.38M | |
| 2023 | 14,474 | $4.31M | |
| 2024incomplete | 14,949 | $4.57M |
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 | 82% | 30,523 | 21,160 | $17.57M |
| 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 | 8.5% | 3,867 | 3,115 | $1.82M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.2% | 10,315 | 9,298 | $892K |
| 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 | 2.0% | 11,779 | 10,721 | $416K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 3,179 | 1,811 | $128K |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | <1% | 232 | 45 | $99K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 870 | 708 | $88K |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face 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 fqhc visit | <1% | 131 | 47 | $73K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 611 | 437 | $72K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 682 | 654 | $47K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,186 | 604 | $38K |
| 98942 | <1% | 67 | 42 | $29K |
51 more codes
| 0561 | <1% | 1,137 | $17K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 178 | $16K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 18 | $8K |
| 90836 | <1% | 15 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 571 | $5K |
| 80305 | <1% | 1,125 | $725.17 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 653 | $455.00 |
| 3074F | <1% | 619 | $314.61 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 3,594 | $105.12 |
| 2000F | 0% | 1,016 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 245 | $0.00 |
| 90686 | 0% | 275 | $0.00 | |
| 3075F | 0% | 63 | $0.00 | |
| 1036F | 0% | 445 | $0.00 | |
| 3008F | 0% | 97 | $0.00 | |
| 3079F | 0% | 224 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 14 | $0.00 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 521 | $0.00 |
| 3080F | 0% | 54 | $0.00 | |
| 90656 | 0% | 27 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 100 | $0.00 |
| 1220F | 0% | 18 | $0.00 | |
| 83051 | 0% | 27 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 15 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 17 | $0.00 |
| 90674 | 0% | 15 | $0.00 | |
| 85018 | 0% | 72 | $0.00 | |
| 90688 | 0% | 38 | $0.00 | |
| 92551 | 0% | 34 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 268 | $0.00 |
| 2014F | 0% | 88 | $0.00 | |
| 3078F | 0% | 672 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 26 | $0.00 |
| 0510 | 0% | 1,200 | $0.00 | |
| 1159F | 0% | 1,218 | $0.00 | |
| 3077F | 0% | 279 | $0.00 | |
| 92552 | 0% | 124 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 464 | $0.00 |
| 90461 | 0% | 189 | $0.00 | |
| 90662 | 0% | 17 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 64 | $0.00 |
| 97161 | 0% | 214 | $0.00 | |
| 99173 | 0% | 171 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 179 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 78 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 25 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 12 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 13 | $0.00 |
| 81003 | 0% | 13 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 12 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 13 | $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 officialSHOKRAII, BECKY (CHIEF ADMINISTRATIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Tuolumne Me-Wuk Indian Health Center, INC. | Sonora, CA | $46.85M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.