Clinic
Lower Elwha Klallam Tribe
Lower Elwha Klallam Tribe was paid $10.65M by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.
33Billing provider infoLOWER ELWHA KLALLAM TRIBE
PORT ANGELES, WA 98362
PORT ANGELES, WA 98362
33aNPI1841316916assigned 03/21/2007
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$10.65M
24GClaims55,547
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Washington
Rank by total paid#3 of 48
Median peer was paid$632K
This provider vs. median17×
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 | 7,859 | $1.50M | |
| 2019 | 9,106 | $1.47M | |
| 2020 | 10,016 | $1.62M | |
| 2021 | 6,413 | $1.14M | |
| 2022 | 5,585 | $1.19M | |
| 2023 | 8,416 | $1.84M | |
| 2024incomplete | 8,152 | $1.89M |
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 | 85% | 23,809 | 5,029 | $9.02M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 5.2% | 7,136 | 3,781 | $555K |
| 96153 | 4.5% | 6,197 | 1,029 | $476K | |
| 96165 | 4.4% | 8,976 | 1,803 | $465K | |
| 96164 | 1.0% | 9,014 | 1,806 | $107K | |
| H0001 | Alcohol and/or drug assessment | <1% | 218 | 199 | $25K |
| 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% | 139 | 78 | $9K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 58 | 57 | $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)
Parent organizationLOWER ELWHA KLALLAM TRIBE
| Provider | Location | Paid |
|---|---|---|
| Lower Elwha Klallam Tribe | Port Angeles, WA | $9.96M |
| 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.