Colville Nation Community Health Centers

Colville Nation Community Health Centers was paid $14.53M by Medicaid between Jan 2018 and Nov 2024, across 64 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.

33Billing provider infoCOLVILLE NATION COMMUNITY HEALTH CENTERS
INCHELIUM, WA 99138

33aNPI1679697155assigned 03/19/2007

33bProvider typeClinic/Center

28Total paid$14.53M

24GClaims75,360

24DCodes billed64

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Clinic/Center providers in Washington

Rank by total paid#6 of 113

Median peer was paid$110K

This provider vs. median133×

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	11,701	$1.74M
2019	13,348	$2.00M
2020	11,881	$1.81M
2021	12,580	$2.21M
2022	8,256	$2.00M
2023	9,219	$2.22M
2024incomplete	8,375	$2.56M

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	93%	34,516	27,433	$13.55M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.4%	9,652	7,809	$353K
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	1.1%	3,546	3,003	$155K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	2,254	1,671	$100K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	885	467	$67K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	2,691	904	$62K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	2,070	1,847	$58K
D1206	Topical application of fluoride varnish	<1%	2,420	2,289	$30K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	1,854	583	$21K
D0140	Limited oral evaluation - problem focused	<1%	771	732	$17K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	254	205	$15K
D1999		<1%	793	663	$10K

52 more codes

D1120	Dental cleaning, child	<1%	490	$9K
D1110	Prophylaxis - adult	<1%	295	$8K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	79	$7K
97035		<1%	1,289	$6K
D0190		<1%	1,917	$5K
0012A		<1%	152	$4K
D0150	Comprehensive oral evaluation - new or established patient	<1%	150	$4K
D0220	Intraoral - periapical first radiographic image	<1%	518	$4K
D1351	Sealant - per tooth	<1%	298	$4K
92015	Determination of refractive state	<1%	360	$4K
D0120	Dental checkup, returning patient	<1%	156	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	68	$3K
0011A		<1%	182	$3K
97014		<1%	330	$3K
97161		<1%	68	$2K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	132	$2K
D1208	Topical application of fluoride, excluding varnish	<1%	162	$2K
90674		<1%	93	$2K
96127		<1%	1,012	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	37	$1K
D7140	Extraction, erupted tooth or exposed root	<1%	53	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	88	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	108	$1K
90686		<1%	145	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	228	$1K
0013A		<1%	33	$1K
0002A		<1%	29	$1K
0072A		<1%	28	$1K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	29	$1K
0001A		<1%	25	$1K
D0330	Panoramic radiographic image	<1%	35	$975.43
0071A		<1%	24	$960.00
83036	Hemoglobin; glycosylated (A1C)	<1%	118	$936.03
0003A		<1%	24	$920.00
D0274	Bitewings - four radiographic images	<1%	76	$899.60
80061	Lipid panel	<1%	74	$879.54
97804		<1%	72	$677.34
36415	Collection of venous blood by venipuncture	<1%	181	$667.94
80053	Comprehensive metabolic panel	<1%	71	$609.93
97032		<1%	51	$360.80
D1354		<1%	69	$227.40
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	13	$208.65
90661		<1%	20	$200.78
90620		<1%	12	$196.50
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	16	$193.33
81003		<1%	62	$105.86
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	12	$77.77
G0467	Community health center visit, returning patient	<1%	3,207	$29.00
D0603		0%	319	$0.00
91301		0%	438	$0.00
91307		0%	72	$0.00
91300		0%	134	$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 officialBURKHART, SUE (BILLER)