Sea Mar Community Health Centers
Sea Mar Community Health Centers was paid $130K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 31% of everything it billed.
MOUNT VERNON, WA 98273
Next to other Family Medicine Physician providers in Washington
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 426 | $18K | |
| 2019 | 261 | $13K | |
| 2020 | 144 | $2K | |
| 2021 | 71 | $1K | |
| 2022 | 448 | $25K | |
| 2023 | 1,579 | $45K | |
| 2024incomplete | 3,232 | $26K |
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 | 31% | 546 | 374 | $40K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 29% | 880 | 755 | $38K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 363 | 361 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.1% | 496 | 477 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 195 | 177 | $7K |
| 90686 | 4.6% | 541 | 535 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.9% | 308 | 299 | $2K |
| 90697 | 1.7% | 211 | 210 | $2K | |
| 90670 | 1.7% | 156 | 153 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 94 | 94 | $2K |
| 90677 | <1% | 189 | 188 | $1K | |
| 90633 | <1% | 76 | 74 | $427.39 |
15 more codes
| 81002 | <1% | 384 | $287.04 | |
| 90656 | <1% | 163 | $259.90 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 29 | $187.41 |
| 90716 | <1% | 13 | $98.45 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 18 | $74.95 |
| 90619 | <1% | 13 | $46.98 | |
| 90651 | <1% | 29 | $11.94 | |
| 90681 | <1% | 13 | $10.48 | |
| 3078F | <1% | 164 | $0.01 | |
| 3074F | <1% | 151 | $0.01 | |
| 1159F | 0% | 424 | $0.00 | |
| 1160F | 0% | 40 | $0.00 | |
| 0502F | 0% | 589 | $0.00 | |
| 1126F | 0% | 62 | $0.00 | |
| 0500F | 0% | 14 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.