Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WA › Darrington › NPI 1013064575
Physician

Public Hospital Dist No 1 Skagit

Public Hospital Dist No 1 Skagit was paid $1.06M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 51% of everything it billed.

33Billing provider infoPUBLIC HOSPITAL DIST NO 1 SKAGIT
DARRINGTON, WA 98241
33aNPI1013064575assigned 01/05/2007
28Total paid$1.06M
24GClaims20,322
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Washington

Rank by total paid#55 of 347
Median peer was paid$53K
This provider vs. median20×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20182,009$100K
20192,994$159K
20202,469$94K
20212,710$111K
20223,610$208K
20233,517$210K
2024incomplete3,013$180K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 51% 9,813 8,559 $539K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28% 6,164 5,724 $299K
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 19% 3,294 3,098 $201K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 89 86 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 72 72 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 30 30 $3K
90686 <1% 174 172 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 13 13 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 40 39 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 75 75 $601.22
36415 Collection of venous blood by venipuncture <1% 149 142 $480.80
90670 <1% 60 60 $479.68
6 more codes
96127 <1% 93 $399.74
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 47 $286.42
90651 <1% 13 $85.86
90734 <1% 12 $79.01
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) <1% 150 $8.21
3008F 0% 34 $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 officialCESENA, TAMARA (CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under CESENA, TAMARA

Full network →
ProviderLocationPaid
Public Hospital Dist No 1 SkagitMount Vernon, WA$88.65M
Public Hospital Dist No 1 SkagitMount Vernon, WA$24.73M
Public Hospital District No 1 SkagitArlington, WA$974K
Public Hospital Dist No 1 SkagitGranite Falls, WA$263K
Public Hospital Dist No 1 SkagitArlington, WA$13K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.