County of Skamania

County of Skamania was paid $232K by Medicaid between Jan 2018 and Oct 2024, across 16 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 35% of everything it billed.

33Billing provider infoCOUNTY OF SKAMANIA
STEVENSON, WA 98648

33aNPI1821175456assigned 11/01/2006

33bProvider typePublic Health or Welfare Agency

28Total paid$232K

24GClaims12,828

24DCodes billed16

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Public Health or Welfare Agency providers in Washington

Rank by total paid#6 of 22

Median peer was paid$90K

This provider vs. median2.6×

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	1,772	$31K
2019	1,279	$14K
2020	1,878	$8K
2021	1,946	$7K
2022	2,869	$47K
2023	2,423	$56K
2024incomplete	661	$69K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0004	Behavioral health counseling and therapy, per 15 minutes	35%	730	431	$81K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	18%	4,067	2,873	$41K
96165		13%	596	137	$31K
96153		9.1%	275	73	$21K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.8%	2,713	2,454	$20K
96164		5.6%	598	137	$13K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	3.6%	589	413	$8K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	2.0%	330	279	$5K
Q3014	Telehealth originating site facility fee	1.8%	1,928	1,675	$4K
H0023	Behavioral health outreach service (planned approach to reach a targeted population)	1.2%	141	82	$3K
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	<1%	187	161	$2K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	<1%	389	274	$773.46

4 more codes

0002A		<1%	13	$360.00
H0046	Mental health services, not otherwise specified	<1%	37	$316.80
90792	Psychiatric diagnostic evaluation with medical services	<1%	14	$142.54
H2015	Community support for mental illness or disability, per 15 minutes	0%	221	$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 officialCISSELL, TAMARA (COMMUNITY HEALTH DIRECTOR)