Behavioral
Karuk Tribe
Karuk Tribe was paid $5.25M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoKARUK TRIBE
HAPPY CAMP, CA 96039
HAPPY CAMP, CA 96039
33aNPI1952483406assigned 10/20/2006
33bProvider typeClinical Social Worker
28Total paid$5.25M
24GClaims19,509
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Social Worker providers in California
Rank by total paid#17 of 591
Median peer was paid$50K
This provider vs. median106×
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 | 2,478 | $537K | |
| 2019 | 2,717 | $653K | |
| 2020 | 2,576 | $632K | |
| 2021 | 4,292 | $1.02M | |
| 2022 | 3,133 | $951K | |
| 2023 | 2,228 | $702K | |
| 2024incomplete | 2,085 | $755K |
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 | 78% | 7,601 | 6,136 | $4.12M |
| 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 | 22% | 2,709 | 2,259 | $1.13M |
| 99000 | <1% | 1,214 | 1,141 | $341.22 | |
| 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% | 6,498 | 5,592 | $90.57 |
| 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 | 0% | 145 | 128 | $0.00 |
| 0012A | 0% | 70 | 70 | $0.00 | |
| 0011A | 0% | 70 | 70 | $0.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 46 | 44 | $0.00 |
| T1014 | Telehealth transmission, per minute, professional services bill separately | 0% | 56 | 53 | $0.00 |
| 90686 | 0% | 31 | 30 | $0.00 | |
| 0064A | 0% | 33 | 33 | $0.00 | |
| 91301 | 0% | 62 | 62 | $0.00 |
9 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 12 | $0.00 |
| 90674 | 0% | 21 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 30 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 315 | $0.00 |
| 99442 | 0% | 84 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 443 | $0.00 |
| 99173 | 0% | 31 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 21 | $0.00 |
| 90756 | 0% | 17 | $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 officialTIRATERRA, EILEEN (BUSINESS OFFICE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Karuk Tribe | Yreka, CA | $30.39M |
| Karuk Tribe | Orleans, CA | $1.65M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.