Clinic
Lower Elwha Klallam Tribe
Lower Elwha Klallam Tribe was paid $9.96M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoLOWER ELWHA KLALLAM TRIBE
PORT ANGELES, WA 98363
PORT ANGELES, WA 98363
33aNPI1821114026assigned 03/21/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$9.96M
24GClaims43,412
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Washington
Rank by total paid#2 of 74
Median peer was paid$59K
This provider vs. median170×
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 | 6,742 | $1.18M | |
| 2019 | 6,588 | $1.22M | |
| 2020 | 6,527 | $1.24M | |
| 2021 | 9,425 | $1.90M | |
| 2022 | 5,104 | $1.52M | |
| 2023 | 5,482 | $1.63M | |
| 2024incomplete | 3,544 | $1.27M |
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 | 92% | 21,303 | 16,229 | $9.14M |
| 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 | 4.6% | 10,269 | 8,122 | $460K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 7,405 | 5,647 | $265K |
| 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% | 2,352 | 1,849 | $66K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 80 | 69 | $5K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 312 | 279 | $4K |
| 91322 | <1% | 38 | 38 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 193 | 165 | $3K |
| 0012A | <1% | 143 | 124 | $3K | |
| 90480 | <1% | 73 | 72 | $3K | |
| 0013A | <1% | 54 | 48 | $2K | |
| 0011A | <1% | 127 | 119 | $2K |
16 more codes
| 0002A | <1% | 50 | $1K | |
| 0134A | <1% | 25 | $974.00 | |
| 80305 | <1% | 57 | $677.05 | |
| 0064A | <1% | 16 | $600.00 | |
| 0071A | <1% | 16 | $560.00 | |
| 0001A | <1% | 35 | $514.32 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 139 | $320.50 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 17 | $32.80 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 14 | $16.40 |
| 91301 | 0% | 435 | $0.00 | |
| 91307 | 0% | 33 | $0.00 | |
| 91306 | 0% | 16 | $0.00 | |
| 91300 | 0% | 113 | $0.00 | |
| 97810 | 0% | 50 | $0.00 | |
| 91313 | 0% | 25 | $0.00 | |
| 97811 | 0% | 22 | $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 officialCHARLES, FRANCES (CHAIRWOMAN)
| Provider | Location | Paid |
|---|---|---|
| Lower Elwha Klallam Tribe | Port Angeles, WA | $10.65M |
| Lower Elwha Klallam Tribe | Port Angeles, WA | $5.46M |
| Lower Elwha Klallam Tribe Dental Clinic | Port Angeles, WA | $4.88M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.