Clinic
Nez Perce Tribal Health Authority
Nez Perce Tribal Health Authority was paid $8.45M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoNEZ PERCE TRIBAL HEALTH AUTHORITY
LAPWAI, ID 83540
LAPWAI, ID 83540
33aNPI1790795888assigned 08/09/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.45M
24GClaims28,379
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Idaho
Rank by total paid#3 of 21
Median peer was paid$2.73M
This provider vs. median3.1×
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 | 2,926 | $665K | |
| 2019 | 2,739 | $695K | |
| 2020 | 2,742 | $825K | |
| 2021 | 3,478 | $735K | |
| 2022 | 5,655 | $1.96M | |
| 2023 | 6,911 | $2.26M | |
| 2024incomplete | 3,928 | $1.31M |
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 | 78% | 13,038 | 10,906 | $6.63M |
| D0999 | Unspecified diagnostic procedure, by report | 21% | 4,027 | 3,566 | $1.74M |
| 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% | 3,874 | 3,517 | $68K |
| 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% | 2,328 | 2,116 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | 29 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 344 | 315 | $653.73 |
| 36415 | Collection of venous blood by venipuncture | <1% | 59 | 55 | $576.24 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 35 | 34 | $359.05 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 494 | 470 | $321.48 |
| D1110 | Prophylaxis - adult | <1% | 40 | 40 | $213.76 |
| 92015 | Determination of refractive state | <1% | 585 | 582 | $201.87 |
| 80053 | Comprehensive metabolic panel | <1% | 40 | 38 | $152.35 |
26 more codes
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 59 | $107.79 |
| D0330 | Panoramic radiographic image | <1% | 45 | $99.36 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 57 | $88.48 |
| D0274 | Bitewings - four radiographic images | <1% | 53 | $86.49 |
| 0013A | <1% | 30 | $80.02 | |
| D0120 | Dental checkup, returning patient | <1% | 37 | $40.48 |
| 0001A | <1% | 14 | $40.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 269 | $24.84 |
| D1999 | 0% | 321 | $0.00 | |
| 91300 | 0% | 59 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 457 | $0.00 |
| D0190 | 0% | 79 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 70 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 12 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 237 | $0.00 |
| 91301 | 0% | 259 | $0.00 | |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 339 | $0.00 |
| D1330 | 0% | 219 | $0.00 | |
| 0011A | 0% | 76 | $0.00 | |
| D8670 | Periodic orthodontic treatment visit | 0% | 40 | $0.00 |
| D1310 | 0% | 15 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 26 | $0.00 |
| 0012A | 0% | 59 | $0.00 | |
| 91307 | 0% | 12 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 15 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 626 | $-3135.13 |
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 officialHARTWIG, R. (MEDICAL DIRECTOR)