Medicaid Provider Spending

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

PACMED CLINICS

NPI: 1013061217 · SEATTLE, WA 98124 · Internal Medicine Physician · NPI assigned 01/23/2007

Deactivated NPI · This NPI was deactivated on 07/17/2007. Reactivated 02/29/2008.
Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$4.51M
Total Medicaid Paid
120,035
Total Claims
109,795
Beneficiaries
76
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECREATRY FOR ENROLLMENT)
NPI Enumeration Date01/23/2007

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,777 $687K
2019 13,141 $572K
2020 8,377 $372K
2021 15,999 $748K
2022 19,568 $795K
2023 27,014 $775K
2024 19,159 $560K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 51,746 48,713 $2.74M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,589 13,956 $732K
90837 Psychotherapy, 53 minutes with patient 3,209 1,579 $267K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,982 1,964 $170K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,313 4,455 $145K
90686 2,971 2,947 $53K
90834 Psychotherapy, 45 minutes with patient 970 534 $52K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 961 950 $52K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 374 373 $40K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 323 320 $35K
99215 Prolong outpt/office vis 308 300 $23K
99499 764 754 $21K
97530 Therapeutic activities, direct patient contact, each 15 minutes 735 523 $12K
20611 294 262 $11K
99188 749 739 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 652 645 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument 871 815 $8K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 146 143 $8K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 173 118 $8K
99429 224 223 $7K
92552 261 261 $7K
93000 1,012 999 $6K
D1206 Topical application of fluoride varnish 505 481 $6K
99205 Prolong outpt/office vis 59 59 $6K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 37 36 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 45 45 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 54 53 $5K
92134 885 842 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 109 108 $5K
90480 111 111 $4K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 190 138 $4K
D0120 Periodic oral evaluation - established patient 184 179 $3K
0012A 99 98 $3K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 238 162 $3K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 84 83 $3K
90792 Psychiatric diagnostic evaluation with medical services 26 26 $3K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 39 39 $2K
73630 163 127 $2K
67028 Intravitreal injection of a pharmacologic agent 200 168 $2K
90688 124 124 $2K
J7999 Compounded drug, not otherwise classified 108 93 $2K
D9999 Unspecified adjunctive procedure, by report 123 119 $2K
90472 Immunization administration, each additional vaccine (list separately) 36 36 $2K
90791 Psychiatric diagnostic evaluation 14 14 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 46 44 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 417 404 $2K
97161 41 40 $1K
0011A 30 30 $1K
45380 Colonoscopy, flexible; with biopsy, single or multiple 28 26 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 39 38 $906.06
96127 180 169 $855.65
11102 13 13 $740.10
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 43 28 $689.61
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) 132 125 $541.19
99173 265 265 $531.48
90656 95 95 $470.22
90685 31 31 $425.02
51798 124 113 $363.64
90651 16 16 $362.24
90672 14 14 $314.01
90633 27 27 $246.75
11721 30 27 $208.86
96375 Therapeutic injection; each additional sequential IV push 155 39 $158.86
90670 14 13 $150.72
92015 Determination of refractive state 19 12 $66.06
90677 14 14 $36.68
91321 27 27 $13.41
99153 Mod sedat endo service >5yrs 15 15 $7.43
3078F 11,728 11,386 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 67 66 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 17 12 $0.00
3074F 11,604 11,263 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 526 515 $0.00
3079F 68 67 $0.00
91301 111 109 $0.00
G0008 Administration of influenza virus vaccine 39 38 $0.00