Behavioral
Karuk Tribe
Karuk Tribe was paid $30.39M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 55% of everything it billed.
33Billing provider infoKARUK TRIBE
YREKA, CA 96097
YREKA, CA 96097
33aNPI1730279423assigned 10/13/2006
33bProvider typeClinical Social Worker
28Total paid$30.39M
24GClaims87,462
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in California
Rank by total paid#4 of 591
Median peer was paid$50K
This provider vs. median613×
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 | 15,852 | $4.35M | |
| 2019 | 12,889 | $3.93M | |
| 2020 | 10,010 | $2.97M | |
| 2021 | 13,948 | $4.31M | |
| 2022 | 14,299 | $5.71M | |
| 2023 | 11,205 | $4.71M | |
| 2024incomplete | 9,259 | $4.40M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 55% | 31,308 | 23,073 | $16.81M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 38% | 20,936 | 16,347 | $11.40M |
| 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 | 7.2% | 5,387 | 4,319 | $2.18M |
| Q3014 | Telehealth originating site facility fee | <1% | 72 | 67 | $2K |
| 99000 | <1% | 4,275 | 3,793 | $196.02 | |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 142 | 90 | $165.84 |
| 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% | 13,086 | 10,958 | $102.02 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,064 | 3,683 | $74.21 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 260 | 239 | $32.35 |
| 90756 | <1% | 20 | 20 | $31.12 | |
| 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% | 2,698 | 2,456 | $30.63 |
| 81003 | 0% | 212 | 199 | $0.00 |
25 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 51 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 996 | $0.00 |
| 99173 | 0% | 224 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 1,276 | $0.00 |
| 99442 | 0% | 272 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 89 | $0.00 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 79 | $0.00 |
| 90661 | 0% | 12 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 13 | $0.00 |
| 90715 | 0% | 27 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 17 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 177 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 76 | $0.00 |
| 82962 | 0% | 371 | $0.00 | |
| 90674 | 0% | 271 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 171 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 233 | $0.00 |
| 92551 | 0% | 150 | $0.00 | |
| 0012A | 0% | 100 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 24 | $0.00 |
| 90686 | 0% | 130 | $0.00 | |
| 0011A | 0% | 124 | $0.00 | |
| 91301 | 0% | 83 | $0.00 | |
| 0031A | 0% | 12 | $0.00 | |
| 0064A | 0% | 24 | $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 officialTIRATERRA, EILEEN (BUSINESS OFFICE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Karuk Tribe | Happy Camp, CA | $5.25M |
| Karuk Tribe | Orleans, CA | $1.65M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.