Clinic
Klamath Tribal Health & Family Services
Klamath Tribal Health & Family Services was paid $8.64M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoKLAMATH TRIBAL HEALTH & FAMILY SERVICES
CHILOQUIN, OR 97624
CHILOQUIN, OR 97624
33aNPI1629078274assigned 07/26/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.64M
24GClaims29,746
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Oregon
Rank by total paid#10 of 90
Median peer was paid$254K
This provider vs. median34×
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 | 5,752 | $1.49M | |
| 2019 | 5,101 | $1.37M | |
| 2020 | 3,659 | $1.33M | |
| 2021 | 4,019 | $1.25M | |
| 2022 | 4,410 | $1.51M | |
| 2023 | 3,803 | $1.05M | |
| 2024incomplete | 3,002 | $644K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 6,387 | 5,866 | $2.88M |
| 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 | 20% | 3,955 | 3,648 | $1.75M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 8.1% | 1,329 | 1,205 | $703K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 7.3% | 1,326 | 407 | $633K |
| S0215 | Non-emergency transportation; mileage, per mile | 6.3% | 11,294 | 4,499 | $547K |
| D1110 | Prophylaxis - adult | 3.8% | 659 | 622 | $328K |
| D0140 | Limited oral evaluation - problem focused | 2.8% | 448 | 420 | $238K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2.4% | 392 | 232 | $205K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.1% | 336 | 238 | $183K |
| D0191 | 2.1% | 452 | 386 | $179K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 396 | 345 | $162K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 319 | 289 | $150K |
23 more codes
| D0120 | Dental checkup, returning patient | 1.7% | 298 | $149K |
| D1120 | Dental cleaning, child | 1.4% | 226 | $123K |
| G0467 | Community health center visit, returning patient | 1.1% | 454 | $93K |
| 99442 | <1% | 151 | $66K | |
| D0190 | <1% | 119 | $46K | |
| 98968 | <1% | 90 | $44K | |
| 97803 | <1% | 57 | $26K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 55 | $26K |
| 90480 | <1% | 30 | $22K | |
| D9110 | <1% | 43 | $22K | |
| 0064A | <1% | 61 | $20K | |
| 0134A | <1% | 77 | $8K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 17 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | $6K |
| 0012A | <1% | 177 | $6K | |
| 0011A | <1% | 197 | $5K | |
| 99443 | <1% | 15 | $5K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 16 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 254 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 22 | $279.05 |
| 0001A | <1% | 12 | $40.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 15 | $0.00 |
| D1330 | 0% | 50 | $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 officialMENDEZ, NIKOWA (COMPLIANCE ADMINISTRATOR)