Native American Health Center INC
Native American Health Center INC was paid $67.34M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 59% of everything it billed.
33Billing provider infoNATIVE AMERICAN HEALTH CENTER INC
OAKLAND, CA 94601
OAKLAND, CA 94601
33aNPI1689863516assigned 10/16/2007
33bProvider typeCase Manager/Care Coordinator
28Total paid$67.34M
24GClaims420,321
24DCodes billed84
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#23 of 435
Median peer was paid$2.89M
This provider vs. median23×
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 | 48,059 | $10.83M | |
| 2019 | 47,179 | $8.92M | |
| 2020 | 52,332 | $6.97M | |
| 2021 | 59,349 | $8.39M | |
| 2022 | 64,605 | $7.95M | |
| 2023 | 70,017 | $11.86M | |
| 2024incomplete | 78,780 | $12.42M |
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 | 59% | 132,762 | 107,953 | $39.46M |
| 00003 | Internal/system code - not a standard HCPCS code | 38% | 60,661 | 57,043 | $25.62M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.3% | 17,549 | 6,413 | $847K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 5,520 | 2,144 | $398K |
| 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% | 109,072 | 63,942 | $290K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 6,029 | 2,573 | $209K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 824 | 396 | $146K |
| 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% | 31,511 | 19,807 | $136K |
| 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% | 1,216 | 1,028 | $120K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,706 | 2,608 | $28K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 55 | 55 | $15K |
| 90677 | <1% | 335 | 213 | $14K |
72 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 103 | $13K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 61 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 319 | $5K |
| 81025 | <1% | 3,245 | $3K | |
| 90746 | <1% | 217 | $3K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 2,361 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15,982 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 271 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 807 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,933 | $2K |
| 97802 | <1% | 1,184 | $1K | |
| 97803 | <1% | 789 | $1K | |
| 85018 | <1% | 6,857 | $1K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 309 | $1K |
| J3490 | Unclassified drugs | <1% | 68 | $991.84 |
| 86703 | <1% | 62 | $791.51 | |
| 90686 | <1% | 2,078 | $655.43 | |
| 90480 | <1% | 49 | $560.00 | |
| 90670 | <1% | 588 | $500.00 | |
| 90680 | <1% | 361 | $460.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 51 | $377.20 |
| 99401 | <1% | 237 | $357.24 | |
| 90656 | <1% | 975 | $327.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 66 | $318.68 |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 20 | $290.00 |
| 90647 | <1% | 212 | $290.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 284 | $287.00 |
| A4267 | Contraceptive supply, condom, male, each | <1% | 172 | $281.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 4,666 | $261.73 |
| 90715 | <1% | 304 | $234.80 | |
| 90739 | <1% | 220 | $190.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 121 | $153.81 |
| 90723 | <1% | 102 | $150.00 | |
| 96156 | <1% | 221 | $117.74 | |
| 90674 | <1% | 230 | $113.23 | |
| 90688 | <1% | 398 | $90.00 | |
| 90633 | <1% | 204 | $80.00 | |
| 90713 | <1% | 100 | $70.00 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 43 | $67.28 |
| 90744 | <1% | 46 | $40.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 329 | $34.96 |
| 90734 | <1% | 37 | $30.00 | |
| 90716 | <1% | 96 | $30.00 | |
| 90658 | <1% | 89 | $20.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 30 | $19.55 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 19 | $18.75 |
| 90756 | <1% | 12 | $15.00 | |
| 87806 | <1% | 38 | $14.24 | |
| 82962 | <1% | 176 | $13.20 | |
| 90648 | <1% | 16 | $10.00 | |
| 90651 | <1% | 59 | $10.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 851 | $9.39 |
| 82948 | <1% | 168 | $2.98 | |
| Z6400 | 0% | 197 | $0.00 | |
| 91322 | 0% | 20 | $0.00 | |
| Z6304 | 0% | 205 | $0.00 | |
| Z6500 | 0% | 12 | $0.00 | |
| 90678 | 0% | 27 | $0.00 | |
| 80305 | 0% | 144 | $0.00 | |
| 81002 | 0% | 23 | $0.00 | |
| 99173 | 0% | 39 | $0.00 | |
| Z6410 | 0% | 1,484 | $0.00 | |
| Z6406 | 0% | 280 | $0.00 | |
| Z6204 | 0% | 238 | $0.00 | |
| 99406 | 0% | 25 | $0.00 | |
| 90474 | 0% | 13 | $0.00 | |
| 92551 | 0% | 26 | $0.00 | |
| 90698 | 0% | 18 | $0.00 | |
| 92250 | 0% | 35 | $0.00 | |
| 90732 | 0% | 23 | $0.00 | |
| 90657 | 0% | 19 | $0.00 | |
| 99383 | 0% | 17 | $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 officialMARCUS-FLORES, ADRIAN (CREDENTIALING & LICENSING ASSOCIATE)
Parent organizationNATIVE AMERICAN HEALTH CENTER