Clinic
Toiyabe Indian Health Project, INC
Toiyabe Indian Health Project, INC was paid $32.27M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 58% of everything it billed.
33Billing provider infoTOIYABE INDIAN HEALTH PROJECT, INC
BISHOP, CA 93514
BISHOP, CA 93514
33aNPI1659433191assigned 12/14/2006
33bProvider typeClinic/Center
28Total paid$32.27M
24GClaims81,887
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#19 of 504
Median peer was paid$102K
This provider vs. median317×
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 | 10,705 | $3.94M | |
| 2019 | 8,719 | $3.44M | |
| 2020 | 8,544 | $2.94M | |
| 2021 | 11,510 | $4.29M | |
| 2022 | 15,014 | $6.93M | |
| 2023 | 14,958 | $5.43M | |
| 2024incomplete | 12,437 | $5.29M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 58% | 34,588 | 26,270 | $18.72M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 38% | 22,249 | 15,379 | $12.21M |
| 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 | 2.0% | 1,894 | 1,550 | $657K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 410 | 410 | $232K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 353 | 350 | $180K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 4,236 | 3,838 | $134K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,283 | 1,160 | $43K |
| 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 | <1% | 4,273 | 3,829 | $41K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 213 | 118 | $16K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 535 | 501 | $7K |
| 0561 | <1% | 234 | 89 | $5K | |
| 0012A | <1% | 164 | 164 | $5K |
52 more codes
| 92015 | Determination of refractive state | <1% | 1,414 | $4K |
| 99000 | <1% | 325 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 185 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,372 | $2K |
| 0064A | <1% | 25 | $1K | |
| 0011A | <1% | 66 | $965.58 | |
| 0071A | <1% | 18 | $720.00 | |
| 0072A | <1% | 14 | $560.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 80 | $479.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 50 | $479.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 115 | $479.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 228 | $26.34 |
| D0120 | Dental checkup, returning patient | 0% | 731 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 553 | $0.00 |
| V2799 | Vision item or service, miscellaneous | 0% | 933 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 203 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 632 | $0.00 |
| 36416 | 0% | 192 | $0.00 | |
| 92551 | 0% | 28 | $0.00 | |
| 90674 | 0% | 13 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 131 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 97 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 74 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 60 | $0.00 |
| 90688 | 0% | 198 | $0.00 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 194 | $0.00 |
| 90686 | 0% | 39 | $0.00 | |
| 85018 | 0% | 49 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 56 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 95 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 14 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 24 | $0.00 |
| D1310 | 0% | 14 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 158 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 916 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 609 | $0.00 |
| V2020 | Frames, purchases | 0% | 494 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 291 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 240 | $0.00 |
| 82948 | 0% | 38 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 32 | $0.00 |
| 90715 | 0% | 12 | $0.00 | |
| 85014 | 0% | 51 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 12 | $0.00 |
| 81003 | 0% | 14 | $0.00 | |
| D9110 | 0% | 17 | $0.00 | |
| 99173 | 0% | 30 | $0.00 | |
| D4910 | 0% | 25 | $0.00 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 223 | $0.00 |
| 90461 | 0% | 33 | $0.00 | |
| D9430 | 0% | 26 | $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 officialLENT, EARL (CEO)
Parent organizationTOIYABE INDIAN HEALTH PROJECT, INC
| Provider | Location | Paid |
|---|---|---|
| Toiyabe Indian Health Project, INC | Bishop, CA | $224K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.