Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WA › Arlington › NPI 1023285756
Physician

South Sound Inpatient Physicians PLLC

South Sound Inpatient Physicians PLLC was paid $17.61M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 49% of everything it billed.

33Billing provider infoSOUTH SOUND INPATIENT PHYSICIANS PLLC
ARLINGTON, WA 98223
33aNPI1023285756assigned 05/12/2008
28Total paid$17.61M
24GClaims395,796
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Washington

Rank by total paid#12 of 347
Median peer was paid$53K
This provider vs. median333×

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.

Entity ProliferationAuthorized official FALL, LAURA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
201851,615$1.62M
201939,645$1.46M
202040,352$1.58M
202158,098$2.47M
202259,882$2.99M
202381,024$3.82M
2024incomplete65,180$3.67M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 49% 215,566 83,792 $8.65M
99223 Prolong inpt eval add15 m 27% 61,840 55,131 $4.75M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 11% 66,264 26,861 $1.92M
99239 Hospital discharge day management, more than 30 minutes 11% 43,095 38,528 $1.87M
99220 1.0% 3,170 2,629 $182K
99222 Initial hospital care, per day, moderate complexity <1% 2,940 2,583 $173K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 475 408 $45K
99497 <1% 361 341 $8K
99217 <1% 233 203 $6K
99238 Hospital discharge day management, 30 minutes or less <1% 173 157 $6K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 352 145 $4K
99226 <1% 71 46 $3K
10 more codes
99219 <1% 41 $2K
99204 Doctor's office visit, new patient (more involved) <1% 48 $2K
99225 <1% 105 $1K
99348 <1% 16 $38.50
99406 <1% 52 $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 <1% 17 $5.34
99349 0% 38 $0.00
99309 Subsequent nursing facility care, per day, low to moderate complexity 0% 151 $0.00
1123F 0% 66 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 722 $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 officialFALL, LAURA (MANAGER)
Same official

Other billing entities under FALL, LAURA

Full network →

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