Physician
Tule River Indian Health Center, INC.
Tule River Indian Health Center, INC. was paid $12.56M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 60% of everything it billed.
33Billing provider infoTULE RIVER INDIAN HEALTH CENTER, INC.
PORTERVILLE, CA 93257
PORTERVILLE, CA 93257
33aNPI1972586972assigned 11/22/2005
33bProvider typeFamily Medicine Physician
28Total paid$12.56M
24GClaims35,304
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#36 of 2,511
Median peer was paid$13K
This provider vs. median978×
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 | 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 | |
| 2024incomplete | 4,784 | $2.39M |
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 | 60% | 23,254 | 15,695 | $7.58M |
| 00003 | Internal/system code - not a standard HCPCS code | 39% | 9,016 | 6,461 | $4.92M |
| 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% | 227 | 183 | $34K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 103 | 93 | $28K |
| 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% | 258 | 241 | $821.50 |
| 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% | 1,397 | 1,276 | $629.61 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 901 | 841 | $199.56 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 22 | 22 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 34 | 34 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 78 | 64 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 14 | 12 | $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 officialJIMENEZ, SYLVIA (STAFF ACCOUNTANT)