Medicaid Provider Spending

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

SHC MEDICAL CENTER TOPPENISH

NPI: 1013492784 · UNION GAP, WA 98903 · Rural Health Clinic/Center · NPI assigned 09/28/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MATHIESEN, MATHEW controls 13+ related entities in our dataset. Read more

$4.99M
Total Medicaid Paid
90,629
Total Claims
80,957
Beneficiaries
29
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMATHIESEN, MATHEW (CEO)
NPI Enumeration Date09/28/2018

Related Entities

Other providers sharing the same authorized official: MATHIESEN, MATHEW

ProviderCityStateTotal Paid
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION SUNNYSIDE WA $55.09M
SHC MEDICAL CENTER TOPPENISH TOPPENISH WA $15.10M
SHC MEDICAL CENTER - YAKIMA YAKIMA WA $6.93M
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION PROSSER WA $2.35M
SHC MEDICAL CENTER TOPPENISH ZILLAH WA $663K
SHC MEDICAL CENTER TOPPENISH TOPPENISH WA $381K
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION UNION GAP WA $316K
SUNNYSIDE COMMUNITY HOSPITAL YAKIMA WA $51K
SHC MEDICAL CENTER - YAKIMA YAKIMA WA $11K
SUNNYSIDE COMMUNITY HOSPITAL SUNNYSIDE WA $4K
SUNNYSIDE COMMUNITY HOSPITAL SUNNYSIDE WA $860.66
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION YAKIMA WA $839.86
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION UNION GAP WA $696.97

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,475 $45K
2020 15,809 $694K
2021 21,551 $915K
2022 19,239 $1.05M
2023 16,930 $1.03M
2024 15,625 $1.26M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 43,799 38,931 $2.80M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,555 20,898 $1.10M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,392 14,006 $870K
99215 Prolong outpt/office vis 851 814 $68K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 868 824 $50K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 552 522 $39K
99205 Prolong outpt/office vis 139 136 $15K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 162 145 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,460 1,127 $10K
11721 163 156 $9K
90686 567 547 $7K
95251 394 371 $3K
83036 Hemoglobin; glycosylated (A1C) 544 508 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 26 26 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 271 266 $1K
76536 25 25 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14 14 $1K
90670 58 57 $622.74
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 17 17 $575.29
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 67 42 $561.24
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 69 44 $529.38
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 180 168 $224.95
J1885 Injection, ketorolac tromethamine, per 15 mg 135 124 $185.48
36415 Collection of venous blood by venipuncture 58 53 $118.86
90633 15 14 $53.16
81002 27 25 $44.66
G0008 Administration of influenza virus vaccine 19 19 $38.34
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) 1,190 1,066 $11.60
99406 12 12 $0.00