Clinic
Confederated Tribes of the Warm Springs Reservation of Oregon
Confederated Tribes of the Warm Springs Reservation of Oregon was paid $7.58M by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 39% of everything it billed.
33Billing provider infoCONFEDERATED TRIBES OF THE WARM SPRINGS RESERVATION OF OREGON
WARM SPRINGS, OR 97761
WARM SPRINGS, OR 97761
33aNPI1700027927assigned 03/18/2009
33bProvider typeClinic/Center
28Total paid$7.58M
24GClaims16,854
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Oregon
Rank by total paid#5 of 167
Median peer was paid$141K
This provider vs. median54×
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 | 2,712 | $964K | |
| 2019 | 4,264 | $1.68M | |
| 2020 | 2,923 | $1.72M | |
| 2021 | 1,767 | $833K | |
| 2022 | 1,984 | $976K | |
| 2023 | 1,640 | $631K | |
| 2024incomplete | 1,564 | $784K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 39% | 6,006 | 3,344 | $2.99M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 33% | 4,969 | 4,427 | $2.52M |
| 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 | 5.3% | 680 | 649 | $400K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.9% | 754 | 679 | $370K |
| 99347 | 4.7% | 883 | 713 | $354K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.5% | 617 | 545 | $268K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 3.5% | 687 | 262 | $266K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.4% | 976 | 955 | $257K |
| 99441 | <1% | 136 | 129 | $54K | |
| H0001 | Alcohol and/or drug assessment | <1% | 56 | 54 | $24K |
| 0011A | <1% | 44 | 42 | $22K | |
| D9310 | <1% | 53 | 48 | $16K |
10 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 22 | $16K |
| D1110 | Prophylaxis - adult | <1% | 46 | $15K |
| 90686 | <1% | 18 | $8K | |
| D1351 | Sealant - per tooth | <1% | 24 | $3K |
| D1330 | 0% | 54 | $0.00 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 0% | 38 | $0.00 |
| 4551F | 0% | 635 | $0.00 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 0% | 117 | $0.00 |
| A4206 | Syringe with needle, sterile, 1 cc or less, each | 0% | 12 | $0.00 |
| D0190 | 0% | 27 | $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 officialSTACONA, MICHELE (SECRETARY/TREASURER-CEO)
| Provider | Location | Paid |
|---|---|---|
| Confederated Tribes of the Warm Springs Reservation of Oregon | Warm Springs, OR | $786K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.