Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › ARLINGTON › SOUTH SOUND INPATIENT PHYSICIANS PLLC

SOUTH SOUND INPATIENT PHYSICIANS PLLC

NPI: 1023285756 · ARLINGTON, WA 98223 · Family Medicine Physician · NPI assigned 05/12/2008

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

Authorized official FALL, LAURA controls 20+ related entities in our dataset. Read more

$17.61M
Total Medicaid Paid
395,796
Total Claims
211,902
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFALL, LAURA (MANAGER)
NPI Enumeration Date05/12/2008

Related Entities

Other providers sharing the same authorized official: FALL, LAURA

ProviderCityStateTotal Paid
INPATIENT SPECIALISTS OF CALIFORNIA, PC SAN BERNARDINO CA $32.85M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTHERN CALIFORNIA, P.C. BAKERSFIELD CA $23.48M
T M CARR MD PC MEMPHIS TN $19.29M
HOSPITALIST MEDICINE PHYSICIANS OF CALIFORNIA, INC SAN JOSE CA $16.34M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS, PLLC HUMBLE TX $16.31M
COGENT HEALTHCARE OF ARIZONA PC BRENTWOOD TN $15.26M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTH CAROLINA LLC AIKEN SC $14.15M
SOUND INPATIENT PHYSICIANS-MICHIGAN, PLLC KALAMAZOO MI $12.40M
HOSPITALIST MEDICINE PHYSICIANS OF OHIO, PROFESSIONAL CORPORATION MIDDLETOWN OH $9.72M
HOSPITALIST MEDICINE PHYSICIANS OF MARYLAND-FREDERICK PC FREDERICK MD $6.02M
RABESSLER MD PC LAS VEGAS NV $5.09M
SOUND PHYSICIANS OF ILLINOIS, LLC CHICAGO IL $4.98M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS - HOUSTON, PLLC BRENTWOOD TN $4.68M
COGENT HEALTHCARE OF GEORGIA PC MACON GA $4.65M
COGENT HEALTHCARE OF KENTUCKY, PSC LOUISVILLE KY $4.39M
HOSPITALIST MEDICINE PHYSICIANS OF NEW YORK, PLLC BRONX NY $4.25M
HOSPITALIST MEDICINE PHYSICIANS OF WEST VIRGINIA, PLLC WHEELING WV $4.10M
HOSPITALIST MEDICINE PHYSICIANS OF NEW MEXICO - CLOVIS, LLC HOBBS NM $4.09M
SOUND PHYSICIANS EMERGENCY MEDICINE OF KANSAS, LLC TOPEKA KS $3.37M
COGENT HEALTHCARE OF NORTH CAROLINA, PC HIGH POINT NC $3.34M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 51,615 $1.62M
2019 39,645 $1.46M
2020 40,352 $1.58M
2021 58,098 $2.47M
2022 59,882 $2.99M
2023 81,024 $3.82M
2024 65,180 $3.67M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 215,566 83,792 $8.65M
99223 Prolong inpt eval add15 m 61,840 55,131 $4.75M
99232 Subsequent hospital care, per day, moderate complexity 66,264 26,861 $1.92M
99239 Hospital discharge day management, more than 30 minutes 43,095 38,528 $1.87M
99220 3,170 2,629 $182K
99222 Initial hospital care, per day, moderate complexity 2,940 2,583 $173K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 475 408 $45K
99497 361 341 $8K
99217 233 203 $6K
99238 Hospital discharge day management, 30 minutes or less 173 157 $6K
99231 Subsequent hospital care, per day, straightforward or low complexity 352 145 $4K
99226 71 46 $3K
99219 41 37 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 48 45 $2K
99225 105 29 $1K
99348 16 14 $38.50
99406 52 43 $9.77
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 17 16 $5.34
99349 38 31 $0.00
99309 Subsequent nursing facility care, per day, low to moderate complexity 151 87 $0.00
1123F 66 65 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 722 711 $0.00