Clinic
Indian Health Council, INC
Indian Health Council, INC was paid $28.25M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 76% of everything it billed.
33Billing provider infoINDIAN HEALTH COUNCIL, INC
VALLEY CENTER, CA 92082
VALLEY CENTER, CA 92082
33aNPI1861449522assigned 05/28/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$28.25M
24GClaims71,859
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#131 of 826
Median peer was paid$4.05M
This provider vs. median7.0×
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 | 6,122 | $2.03M | |
| 2019 | 9,265 | $3.46M | |
| 2020 | 6,157 | $2.13M | |
| 2021 | 10,742 | $3.55M | |
| 2022 | 14,833 | $6.33M | |
| 2023 | 13,722 | $5.63M | |
| 2024incomplete | 11,018 | $5.14M |
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 | 76% | 39,409 | 29,822 | $21.39M |
| 00003 | Internal/system code - not a standard HCPCS code | 21% | 10,979 | 9,331 | $6.03M |
| 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 | 1.8% | 1,888 | 1,523 | $508K |
| 98940 | <1% | 338 | 246 | $216K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 99 | 58 | $40K |
| 97810 | <1% | 73 | 26 | $33K | |
| 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% | 8,586 | 7,765 | $6K |
| 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% | 3,296 | 2,987 | $5K |
| 0012A | <1% | 188 | 188 | $5K | |
| 0064A | <1% | 114 | 114 | $4K | |
| 0011A | <1% | 186 | 186 | $3K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 272 | 166 | $2K |
27 more codes
| 0002A | <1% | 56 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 791 | $1K |
| 0071A | <1% | 24 | $960.00 | |
| 0001A | <1% | 55 | $931.70 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 564 | $668.90 |
| 0072A | <1% | 15 | $600.00 | |
| 90686 | <1% | 122 | $455.00 | |
| 0031A | <1% | 12 | $340.68 | |
| 81002 | <1% | 2,358 | $286.06 | |
| 81025 | <1% | 378 | $2.80 | |
| 99173 | 0% | 164 | $0.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 256 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 19 | $0.00 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 12 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 446 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 260 | $0.00 |
| 82962 | 0% | 202 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 154 | $0.00 |
| 85018 | 0% | 341 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 32 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 53 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 27 | $0.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 12 | $0.00 |
| 97032 | 0% | 18 | $0.00 | |
| 92551 | 0% | 27 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 15 | $0.00 |
| 97010 | 0% | 18 | $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 officialGALLAGHER, WILLIAM (CFO)