Clinic
Lake County Tribal Health Consortium INC.
Lake County Tribal Health Consortium INC. was paid $140.63M by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 51% of everything it billed.
33Billing provider infoLAKE COUNTY TRIBAL HEALTH CONSORTIUM INC.
LAKEPORT, CA 95453
LAKEPORT, CA 95453
33aNPI1881697381assigned 05/27/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$140.63M
24GClaims374,863
24DCodes billed82
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#11 of 826
Median peer was paid$4.05M
This provider vs. median35×
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 | 39,264 | $7.85M | |
| 2019 | 25,673 | $9.94M | |
| 2020 | 32,252 | $11.07M | |
| 2021 | 42,743 | $15.76M | |
| 2022 | 57,369 | $23.78M | |
| 2023 | 89,385 | $34.63M | |
| 2024incomplete | 88,177 | $37.60M |
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 | 51% | 120,397 | 73,111 | $71.15M |
| 00003 | Internal/system code - not a standard HCPCS code | 33% | 78,431 | 56,462 | $46.08M |
| 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 | 9.8% | 32,885 | 22,197 | $13.73M |
| 98940 | 3.8% | 11,984 | 7,847 | $5.32M | |
| 97810 | 1.9% | 4,393 | 2,910 | $2.72M | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 3,182 | 1,817 | $1.19M |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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% | 491 | 471 | $240K |
| 97803 | <1% | 1,130 | 995 | $75K | |
| 97811 | <1% | 1,019 | 716 | $47K | |
| 97802 | <1% | 204 | 204 | $27K | |
| 97813 | <1% | 36 | 24 | $26K | |
| 98966 | <1% | 226 | 181 | $6K |
70 more codes
| 0031A | <1% | 115 | $4K | |
| 0011A | <1% | 147 | $3K | |
| 0134A | <1% | 28 | $2K | |
| 0012A | <1% | 24 | $960.00 | |
| 0001A | <1% | 22 | $880.00 | |
| 0002A | <1% | 17 | $680.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 9,215 | $608.71 |
| 0064A | <1% | 15 | $570.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 37,483 | $296.02 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 3,115 | $223.40 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 4,956 | $22.21 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 7,735 | $12.22 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 7,968 | $10.96 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 1,957 | $0.00 |
| 97162 | 0% | 318 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 242 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,322 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 11,198 | $0.00 |
| 99000 | 0% | 773 | $0.00 | |
| 3044F | 0% | 30 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 509 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 7,452 | $0.00 |
| 92551 | 0% | 250 | $0.00 | |
| 99383 | 0% | 135 | $0.00 | |
| 82962 | 0% | 1,616 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 681 | $0.00 |
| 99384 | 0% | 43 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 342 | $0.00 |
| 36416 | 0% | 1,160 | $0.00 | |
| 90686 | 0% | 824 | $0.00 | |
| T1014 | Telehealth transmission, per minute, professional services bill separately | 0% | 179 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 153 | $0.00 |
| 85018 | 0% | 28 | $0.00 | |
| 3079F | 0% | 43 | $0.00 | |
| 3052F | 0% | 70 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 67 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 51 | $0.00 |
| 3075F | 0% | 20 | $0.00 | |
| 3074F | 0% | 53 | $0.00 | |
| 3080F | 0% | 14 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 25 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 378 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 3,975 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 7,923 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 408 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 728 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 993 | $0.00 |
| 99173 | 0% | 287 | $0.00 | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 0% | 1,324 | $0.00 |
| 86703 | 0% | 42 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 738 | $0.00 |
| 90715 | 0% | 311 | $0.00 | |
| 97161 | 0% | 114 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 1,484 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 194 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 257 | $0.00 |
| 3046F | 0% | 23 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 65 | $0.00 |
| 99382 | 0% | 14 | $0.00 | |
| 81002 | 0% | 445 | $0.00 | |
| 3077F | 0% | 41 | $0.00 | |
| 81025 | 0% | 53 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 12 | $0.00 |
| 90682 | 0% | 66 | $0.00 | |
| 90662 | 0% | 69 | $0.00 | |
| 3078F | 0% | 58 | $0.00 | |
| 97116 | 0% | 45 | $0.00 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 0% | 13 | $0.00 |
| 3051F | 0% | 15 | $0.00 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 15 | $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 officialPADILLA, ERNESTO (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Lake County Tribal Health Consortium, INC. | Lakeport, CA | $28.50M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.