Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TULE RIVER INDIAN HEALTH CENTER, INC.

NPI: 1972586972 · PORTERVILLE, CA 93257 · Family Medicine Physician · NPI assigned 11/22/2005

$12.56M
Total Medicaid Paid
35,304
Total Claims
24,922
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJIMENEZ, SYLVIA (STAFF ACCOUNTANT)
NPI Enumeration Date11/22/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,293 $1.51M
2019 5,223 $1.62M
2020 3,088 $940K
2021 4,057 $1.38M
2022 6,494 $2.33M
2023 6,365 $2.39M
2024 4,784 $2.39M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 23,254 15,695 $7.58M
00003 Internal/system code - not a standard HCPCS code 9,016 6,461 $4.92M
G0467 Federally 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 227 183 $34K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 103 93 $28K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 258 241 $821.50
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,397 1,276 $629.61
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 901 841 $199.56
90460 Immunization administration through 18 years of age via any route, first or only component 22 22 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 34 34 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 78 64 $0.00
36415 Collection of venous blood by venipuncture 14 12 $0.00