Clinic
Public Hospital Dist No 1 Skagit
Public Hospital Dist No 1 Skagit was paid $24.73M by Medicaid between Jan 2018 and Dec 2024, across 149 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoPUBLIC HOSPITAL DIST NO 1 SKAGIT
MOUNT VERNON, WA 98274
MOUNT VERNON, WA 98274
33aNPI1023332749assigned 03/24/2010
33bProvider typeUrgent Care Clinic/Center
28Total paid$24.73M
24GClaims584,968
24DCodes billed149
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Washington
Rank by total paid#1 of 15
Median peer was paid$1.01M
This provider vs. median25×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 83,934 | $2.99M | |
| 2019 | 78,905 | $2.96M | |
| 2020 | 64,254 | $2.34M | |
| 2021 | 85,757 | $3.55M | |
| 2022 | 90,643 | $4.31M | |
| 2023 | 89,784 | $4.31M | |
| 2024incomplete | 91,691 | $4.26M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 54% | 251,181 | 242,441 | $13.34M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 89,194 | 84,587 | $3.35M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.7% | 26,949 | 26,632 | $2.16M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.7% | 16,557 | 15,893 | $1.41M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.0% | 18,329 | 18,114 | $986K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 5,734 | 5,706 | $399K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.6% | 12,519 | 3,883 | $395K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 4,396 | 4,242 | $269K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.0% | 3,591 | 3,576 | $251K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,841 | 2,828 | $214K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 6,171 | 6,104 | $182K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 45,762 | 41,077 | $174K |
137 more codes
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 2,791 | $129K |
| 64615 | <1% | 2,322 | $128K | |
| 99205 | Prolong outpt/office vis | <1% | 1,253 | $103K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12,032 | $87K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 2,413 | $78K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 4,569 | $78K |
| 96127 | <1% | 15,389 | $65K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 628 | $55K |
| 17110 | <1% | 1,430 | $50K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,759 | $50K |
| 0001A | <1% | 1,315 | $45K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,294 | $40K |
| 0011A | <1% | 1,118 | $37K | |
| 0012A | <1% | 841 | $34K | |
| 99443 | <1% | 512 | $31K | |
| 99223 | Prolong inpt eval add15 m | <1% | 402 | $28K |
| 90961 | <1% | 505 | $23K | |
| 69210 | <1% | 1,208 | $23K | |
| 90688 | <1% | 1,888 | $22K | |
| 95115 | <1% | 3,849 | $21K | |
| 90686 | <1% | 1,994 | $21K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 1,051 | $19K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 377 | $18K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,820 | $17K |
| 99442 | <1% | 432 | $17K | |
| 11721 | <1% | 3,000 | $17K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 210 | $17K |
| 92567 | <1% | 1,941 | $16K | |
| 92557 | <1% | 863 | $16K | |
| 99245 | <1% | 138 | $16K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,059 | $15K |
| 17000 | <1% | 682 | $15K | |
| 95886 | <1% | 454 | $15K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 242 | $14K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 170 | $13K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 204 | $12K |
| 90670 | <1% | 1,148 | $11K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 115 | $11K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 68 | $9K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 209 | $8K |
| 92587 | <1% | 716 | $8K | |
| 92504 | <1% | 579 | $7K | |
| 98927 | <1% | 233 | $7K | |
| 92015 | Determination of refractive state | <1% | 657 | $6K |
| 99499 | <1% | 231 | $6K | |
| 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% | 6,628 | $6K |
| 0064A | <1% | 129 | $6K | |
| 11102 | <1% | 355 | $5K | |
| 99429 | <1% | 220 | $5K | |
| 11901 | <1% | 208 | $5K | |
| 90962 | <1% | 103 | $5K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 436 | $5K |
| 90685 | <1% | 387 | $5K | |
| 99441 | <1% | 178 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 321 | $4K |
| 92551 | <1% | 491 | $4K | |
| 17004 | <1% | 166 | $4K | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 3,416 | $4K |
| 97597 | <1% | 491 | $3K | |
| 90648 | <1% | 330 | $3K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 69 | $3K |
| 94060 | <1% | 604 | $3K | |
| 94726 | <1% | 560 | $3K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 79 | $3K |
| 31231 | <1% | 36 | $3K | |
| 95811 | <1% | 54 | $3K | |
| 90633 | <1% | 291 | $3K | |
| 94729 | <1% | 590 | $2K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 27 | $2K |
| 31575 | <1% | 41 | $2K | |
| 90651 | <1% | 299 | $2K | |
| 90680 | <1% | 229 | $2K | |
| 90734 | <1% | 259 | $2K | |
| 0071A | <1% | 47 | $2K | |
| 11100 | <1% | 80 | $2K | |
| 96161 | <1% | 2,017 | $2K | |
| 98928 | <1% | 66 | $2K | |
| 90656 | <1% | 312 | $2K | |
| 99255 | <1% | 13 | $1K | |
| 95874 | <1% | 244 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 80 | $1K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 180 | $1K |
| 20610 | <1% | 55 | $1K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 12 | $1K |
| 99173 | <1% | 548 | $1K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 76 | $1K |
| 0002A | <1% | 29 | $969.92 | |
| 99401 | <1% | 130 | $952.04 | |
| 99243 | <1% | 13 | $845.29 | |
| 90715 | <1% | 120 | $804.09 | |
| 98929 | <1% | 33 | $799.18 | |
| 90698 | <1% | 85 | $760.04 | |
| 99381 | <1% | 12 | $667.67 | |
| 52000 | <1% | 13 | $604.30 | |
| 90620 | <1% | 83 | $578.49 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 15 | $523.17 |
| 43235 | <1% | 12 | $504.78 | |
| 90723 | <1% | 52 | $476.52 | |
| 99497 | <1% | 18 | $476.36 | |
| 95806 | <1% | 19 | $457.60 | |
| 93294 | <1% | 50 | $397.37 | |
| 95251 | <1% | 28 | $379.09 | |
| 64616 | <1% | 12 | $368.94 | |
| 93000 | <1% | 63 | $368.86 | |
| G0454 | Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist | <1% | 51 | $361.76 |
| 95117 | <1% | 90 | $321.12 | |
| 99221 | <1% | 13 | $305.55 | |
| 90677 | <1% | 25 | $297.26 | |
| 20550 | <1% | 15 | $276.19 | |
| 11055 | <1% | 62 | $242.05 | |
| 11900 | <1% | 12 | $198.74 | |
| 93018 | <1% | 26 | $185.53 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $182.42 |
| 90461 | <1% | 43 | $181.32 | |
| 90744 | <1% | 13 | $165.00 | |
| 11056 | <1% | 43 | $159.78 | |
| 90700 | <1% | 24 | $154.21 | |
| 98925 | <1% | 13 | $153.09 | |
| 93297 | <1% | 12 | $149.22 | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 13 | $141.89 |
| 3044F | <1% | 690 | $125.00 | |
| 81025 | <1% | 13 | $111.52 | |
| 17003 | <1% | 47 | $109.82 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 37 | $101.47 |
| 90716 | <1% | 12 | $76.61 | |
| 81002 | <1% | 14 | $49.13 | |
| 81000 | <1% | 16 | $45.00 | |
| 81001 | <1% | 12 | $19.00 | |
| 3078F | 0% | 265 | $0.00 | |
| 0502F | 0% | 232 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 15 | $0.00 |
| 3074F | 0% | 381 | $0.00 | |
| 3008F | 0% | 783 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 43 | $0.00 |
| 3079F | 0% | 48 | $0.00 | |
| 99417 | Prolong home eval add 15m | 0% | 28 | $0.00 |
| 3075F | 0% | 16 | $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 (CFO)
| Provider | Location | Paid |
|---|---|---|
| Public Hospital Dist No 1 Skagit | Mount Vernon, WA | $88.65M |
| Public Hospital Dist No 1 Skagit | Darrington, WA | $1.06M |
| Public Hospital District No 1 Skagit | Arlington, WA | $974K |
| Public Hospital Dist No 1 Skagit | Granite Falls, WA | $263K |
| Public Hospital Dist No 1 Skagit | Arlington, WA | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.