Behavioral
Tanana Valley Clinic LLC
Tanana Valley Clinic LLC was paid $15.25M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoTANANA VALLEY CLINIC LLC
FAIRBANKS, AK 99701
FAIRBANKS, AK 99701
33aNPI1922559558assigned 10/19/2016
33bProvider typeGroup Psychotherapy Psychologist
28Total paid$15.25M
24GClaims175,200
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
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 | 26,036 | $2.10M | |
| 2019 | 29,459 | $2.30M | |
| 2020 | 20,903 | $1.71M | |
| 2021 | 25,412 | $2.30M | |
| 2022 | 26,212 | $2.43M | |
| 2023 | 26,893 | $2.45M | |
| 2024incomplete | 20,285 | $1.97M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 63,019 | 55,154 | $5.83M |
| 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 | 35% | 44,393 | 40,002 | $5.30M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.2% | 12,770 | 4,994 | $942K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 2,855 | 2,690 | $402K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 2,055 | 1,842 | $308K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 1,834 | 1,763 | $267K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 10,826 | 10,437 | $246K |
| 98926 | 1.6% | 4,496 | 3,531 | $237K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.4% | 2,592 | 2,413 | $214K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.3% | 5,540 | 5,363 | $200K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.3% | 1,282 | 1,186 | $193K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 1,423 | 1,345 | $177K |
54 more codes
| 98927 | <1% | 1,864 | $132K | |
| 99221 | <1% | 785 | $87K | |
| 99223 | Prolong inpt eval add15 m | <1% | 483 | $84K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 420 | $68K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,181 | $62K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 396 | $60K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 560 | $58K |
| 80305 | <1% | 5,859 | $57K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,169 | $42K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 199 | $41K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 116 | $37K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 186 | $32K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 329 | $29K |
| 98925 | <1% | 634 | $24K | |
| D1206 | Topical application of fluoride varnish | <1% | 883 | $23K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 224 | $12K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 872 | $11K |
| 94726 | <1% | 779 | $9K | |
| 95251 | <1% | 203 | $8K | |
| 94729 | <1% | 734 | $7K | |
| 95115 | <1% | 610 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 258 | $4K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 19 | $4K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 13 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 282 | $4K |
| 99460 | <1% | 26 | $4K | |
| 99177 | <1% | 341 | $3K | |
| 94010 | <1% | 282 | $3K | |
| 96127 | <1% | 987 | $3K | |
| 90474 | <1% | 201 | $3K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 25 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 98 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $2K |
| 11100 | <1% | 12 | $2K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 16 | $2K |
| 95117 | <1% | 141 | $2K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 22 | $2K |
| 95806 | <1% | 26 | $1K | |
| 94060 | <1% | 70 | $1K | |
| 59025 | Fetal non-stress test | <1% | 19 | $960.62 |
| 99441 | <1% | 48 | $919.80 | |
| 99443 | <1% | 16 | $725.28 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 32 | $672.84 |
| 99152 | <1% | 15 | $556.02 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 30 | $551.04 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 69 | $399.59 |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 12 | $341.40 |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 12 | $171.16 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 183 | $135.80 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $99.92 |
| 99153 | Mod sedat endo service >5yrs | <1% | 14 | $96.18 |
| 95199 | <1% | 16 | $57.60 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 57 | $16.16 |
| 81003 | <1% | 262 | $8.41 |
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 officialSUDDUTH, ANTHONY (CFO)
Parent organizationFOUNDATION HEALTH LLC
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.