Clinic
Susanville Indian Rancheria
Susanville Indian Rancheria was paid $16.23M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 55% of everything it billed.
33Billing provider infoSUSANVILLE INDIAN RANCHERIA
SUSANVILLE, CA 96130
SUSANVILLE, CA 96130
33aNPI1770564049assigned 11/14/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$16.23M
24GClaims42,665
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#212 of 826
Median peer was paid$4.05M
This provider vs. median4.0×
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 | 5,358 | $1.81M | |
| 2019 | 4,290 | $1.47M | |
| 2020 | 3,801 | $1.21M | |
| 2021 | 5,574 | $1.78M | |
| 2022 | 7,424 | $2.78M | |
| 2023 | 8,273 | $3.44M | |
| 2024incomplete | 7,945 | $3.75M |
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 | 55% | 15,254 | 10,598 | $8.88M |
| 00003 | Internal/system code - not a standard HCPCS code | 40% | 12,370 | 8,993 | $6.52M |
| 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 | 5.1% | 1,790 | 1,544 | $820K |
| 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% | 6,112 | 5,269 | $335.26 |
| 99173 | 0% | 14 | 14 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 0% | 1,493 | 735 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 13 | 13 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 735 | 696 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 32 | 30 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 0% | 12 | 12 | $0.00 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 0% | 150 | 87 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 26 | 26 | $0.00 |
8 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 13 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 13 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 4,536 | $0.00 |
| 99000 | 0% | 25 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 17 | $0.00 |
| 92551 | 0% | 17 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 29 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 14 | $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 officialBOVEE, DEANA (TRIBAL CHAIRMAN)