Pacific Northwest Urology Specialists, PLLC

Pacific Northwest Urology Specialists, PLLC was paid $161K by Medicaid between Jan 2018 and Sep 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.

33Billing provider infoPACIFIC NORTHWEST UROLOGY SPECIALISTS, PLLC
BELLINGHAM, WA 98225

33aNPI1023400041assigned 02/27/2015

33bProvider typeUrology Physician

28Total paid$161K

24GClaims5,418

24DCodes billed10

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Urology Physician providers in Washington

Rank by total paid#4 of 12

Median peer was paid$1K

This provider vs. median108×

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	680	$20K
2019	1,139	$37K
2020	715	$24K
2021	722	$18K
2022	1,016	$20K
2023	961	$37K
2024incomplete	185	$6K

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	28%	1,074	975	$45K
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	26%	453	444	$42K
99205	Prolong outpt/office vis	23%	287	284	$37K
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%	803	741	$22K
51798		3.1%	902	846	$5K
99244	Office or other outpatient consultation, moderate to high complexity	2.0%	25	25	$3K
81003		1.9%	1,649	1,545	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.5%	123	117	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	16	16	$1K
87086	Culture, bacterial; quantitative colony count, urine	<1%	86	81	$485.29

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 officialCASPERSON, KELLY (OWNER)