FALLON TRIBAL HEALTH CENTER
1001 RIO VISTA DR, FALLON, NV 89406
NPI Number
1023057478
Practice location · View on Google Maps
SOS Verification: Pending Review
Multiple SOS Matches
Total Medicaid Payments
$24,819,587
+923% vs specialty average
Patients Seen
28,653
Total Claims
71,341
$ Per Patient
$866
Specialty avg: $313
Specialty Rank
#2 of 62
Clinic/Center providers in Nevada
Peer Average
$2,426,494
Average total for Clinic/Center
Claims per Patient
2.5
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $3,188,135 | |
| 2019 | $2,780,221 | |
| 2020 | $2,900,144 | |
| 2021 | $2,914,484 | |
| 2022 | $4,021,614 | |
| 2023 | $3,966,983 | |
| 2024 | $5,048,007 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| T1015 | All-inclusive clinic visit — covers everything in one trip to the clinic | 60,128 | $24,809,777 | 100.0% | $413 |
| 99394 | Wellness checkup — ages 12-17 | 15 | $9,810 | 0.0% | $654 |
| 90480 | Vaccine or immunization | 15 | $0 | 0.0% | $0 |
| 87428 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 413 | $0 | 0.0% | $0 |
| D0230 | Additional dental X-ray | 698 | $0 | 0.0% | $0 |
| 81003 | Urinalysis — automated test | 71 | $0 | 0.0% | $0 |
| 84439 | Blood chemistry test (checking specific substances in your blood) | 14 | $0 | 0.0% | $0 |
| 87426 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 152 | $0 | 0.0% | $0 |
| 80305 | Drug or substance testing | 12 | $0 | 0.0% | $0 |
| D1310 | Dental preventive care (cleaning, fluoride, sealant) | 795 | $0 | 0.0% | $0 |
| 85025 | Complete blood count (CBC) — checks red cells, white cells, and platelets | 130 | $0 | 0.0% | $0 |
| 87804 | Flu test (rapid) | 49 | $0 | 0.0% | $0 |
| 36415 | Drawing blood from a vein (routine blood draw) | 255 | $0 | 0.0% | $0 |
| D2391 | Tooth-colored (resin) filling — one surface, back tooth | 32 | $0 | 0.0% | $0 |
| 98941 | Chiropractic adjustment | 479 | $0 | 0.0% | $0 |
| 36416 | Finger or heel stick for blood collection | 35 | $0 | 0.0% | $0 |
| 99000 | Special medical service | 554 | $0 | 0.0% | $0 |
| 87635 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 101 | $0 | 0.0% | $0 |
| 92015 | Eye exam or vision test | 111 | $0 | 0.0% | $0 |
| D0220 | Single dental X-ray (of one tooth) | 607 | $0 | 0.0% | $0 |
| 0054A | Medical service or procedure | 51 | $0 | 0.0% | $0 |
| 90471 | Giving a vaccine by injection (shot) | 164 | $0 | 0.0% | $0 |
| D0190 | Dental exam, X-ray, or screening | 773 | $0 | 0.0% | $0 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 37 | $0 | 0.0% | $0 |
| D1110 | Dental cleaning for adults (prophylaxis) | 418 | $0 | 0.0% | $0 |
| 81025 | Pregnancy test (urine) | 14 | $0 | 0.0% | $0 |
| 90734 | Meningitis vaccine | 17 | $0 | 0.0% | $0 |
| D0120 | Regular dental checkup and exam | 122 | $0 | 0.0% | $0 |
| D1330 | Dental preventive care (cleaning, fluoride, sealant) | 802 | $0 | 0.0% | $0 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 852 | $0 | 0.0% | $0 |
| 99213 | Office visit for a simple problem (established patient) | 766 | $0 | 0.0% | $0 |
| 99215 | Office visit for a complex or serious problem (established patient) | 404 | $0 | 0.0% | $0 |
| 84443 | Thyroid function test (TSH) | 73 | $0 | 0.0% | $0 |
| 83036 | Hemoglobin A1c test (shows average blood sugar over 3 months — used for diabetes) | 415 | $0 | 0.0% | $0 |
| H0022 | Alcohol and/or drug intervention service (planned facilitation) | 29 | $0 | 0.0% | $0 |
| 0013A | Medical service or procedure | 17 | $0 | 0.0% | $0 |
| V2020 | Frames, purchases | 55 | $0 | 0.0% | $0 |
| 82306 | Vitamin D blood test | 63 | $0 | 0.0% | $0 |
| 99214 | Office visit for a moderate problem (established patient) | 1,063 | $0 | 0.0% | $0 |
| D0274 | Dental X-ray — bitewings (four films) | 190 | $0 | 0.0% | $0 |
| 92014 | Eye exam or vision test | 27 | $0 | 0.0% | $0 |
| 90686 | Vaccine or immunization | 81 | $0 | 0.0% | $0 |
| 99211 | Simple office visit — quick check-in with a nurse or doctor | 227 | $0 | 0.0% | $0 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 15 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.