Clinic
Round Valley Indian Health Center, INC.
Round Valley Indian Health Center, INC. was paid $11.80M by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 72% of everything it billed.
33Billing provider infoROUND VALLEY INDIAN HEALTH CENTER, INC.
COVELO, CA 95428
COVELO, CA 95428
33aNPI1669532750assigned 12/11/2006
33bProvider typeClinic/Center
28Total paid$11.80M
24GClaims37,999
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#52 of 504
Median peer was paid$102K
This provider vs. median116×
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 | 8,400 | $2.12M | |
| 2019 | 6,163 | $1.99M | |
| 2020 | 4,424 | $1.24M | |
| 2021 | 5,571 | $1.33M | |
| 2022 | 5,899 | $2.14M | |
| 2023 | 4,304 | $1.63M | |
| 2024incomplete | 3,238 | $1.35M |
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 | 72% | 15,988 | 11,644 | $8.55M |
| 00003 | Internal/system code - not a standard HCPCS code | 24% | 5,909 | 4,339 | $2.87M |
| 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 | 3.1% | 1,085 | 830 | $363K |
| 0011A | <1% | 127 | 127 | $4K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 106 | 67 | $3K |
| 0012A | <1% | 93 | 93 | $3K | |
| 0064A | <1% | 21 | 21 | $840.00 | |
| 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% | 6,185 | 5,292 | $425.22 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 591 | 517 | $108.14 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,375 | 3,819 | $106.46 |
| 81002 | 0% | 178 | 164 | $0.00 | |
| 85014 | 0% | 103 | 102 | $0.00 |
21 more codes
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 0% | 79 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 87 | $0.00 |
| 90715 | 0% | 12 | $0.00 | |
| 99173 | 0% | 140 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 92552 | 0% | 67 | $0.00 | |
| 82948 | 0% | 51 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 62 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 67 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 18 | $0.00 |
| 90734 | 0% | 12 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 15 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 1,157 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 754 | $0.00 |
| 81000 | 0% | 49 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 400 | $0.00 |
| 90686 | 0% | 63 | $0.00 | |
| 82962 | 0% | 107 | $0.00 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 0% | 48 | $0.00 |
| 36416 | 0% | 18 | $0.00 | |
| 91301 | 0% | 20 | $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 officialBROTHERTON, OTIS (EXECUTIVE DIRECTOR)