Eastern Plumas Health Care District
Eastern Plumas Health Care District was paid $560K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoEASTERN PLUMAS HEALTH CARE DISTRICT
LOYALTON, CA 96118
LOYALTON, CA 96118
33aNPI1669478590assigned 06/24/2005
33bProvider typeCase Manager/Care Coordinator
28Total paid$560K
24GClaims5,311
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#276 of 435
Median peer was paid$2.89M
This provider vs. median0.2×
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 | 478 | $77K | |
| 2019 | 468 | $64K | |
| 2020 | 1,032 | $106K | |
| 2021 | 1,075 | $104K | |
| 2022 | 952 | $82K | |
| 2023 | 630 | $61K | |
| 2024incomplete | 676 | $67K |
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 | 97% | 3,258 | 2,792 | $544K |
| 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 | 1.2% | 225 | 179 | $7K |
| 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% | 665 | 582 | $5K |
| 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% | 1,151 | 952 | $4K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 12 | 12 | $165.00 |
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, JERILEE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Eastern Plumas Health Care District | Portola, CA | $5.78M |
| Eastern Plumas Health Care District | Portola, CA | $1.29M |
| Eastern Plumas Health Care District | Graeagle, CA | $273K |
| Eastern Plumas Health Care | Portola, CA | $75K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.