Physician
Public Hospital District No 1 Skagit
Public Hospital District No 1 Skagit was paid $974K by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoPUBLIC HOSPITAL DISTRICT NO 1 SKAGIT
ARLINGTON, WA 98223
ARLINGTON, WA 98223
33aNPI1043241540assigned 07/05/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$974K
24GClaims19,779
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Washington
Rank by total paid#3 of 10
Median peer was paid$205K
This provider vs. median4.7×
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 | 2,352 | $147K | |
| 2019 | 3,057 | $148K | |
| 2020 | 2,773 | $118K | |
| 2021 | 3,320 | $155K | |
| 2022 | 3,893 | $199K | |
| 2023 | 1,376 | $71K | |
| 2024incomplete | 3,008 | $136K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 3,875 | 3,629 | $275K |
| 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 | 27% | 2,635 | 2,522 | $259K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 1,795 | 1,702 | $160K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 1,232 | 1,222 | $115K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 495 | 491 | $48K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.6% | 3,701 | 3,656 | $25K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 131 | 127 | $17K |
| 90670 | 1.5% | 991 | 980 | $15K | |
| 90686 | 1.5% | 891 | 889 | $14K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 224 | 213 | $9K |
| 96127 | <1% | 1,459 | 1,394 | $6K | |
| 90698 | <1% | 345 | 336 | $6K |
22 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 54 | $6K |
| 90688 | <1% | 354 | $4K | |
| 90680 | <1% | 169 | $3K | |
| 90633 | <1% | 113 | $2K | |
| 90744 | <1% | 78 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 140 | $1K |
| 90677 | <1% | 99 | $1K | |
| 90651 | <1% | 82 | $986.70 | |
| 90647 | <1% | 64 | $762.19 | |
| 90685 | <1% | 48 | $706.31 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 26 | $397.71 |
| 90723 | <1% | 25 | $368.12 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | $364.16 |
| 90656 | <1% | 91 | $362.92 | |
| 96161 | <1% | 183 | $318.72 | |
| 90734 | <1% | 14 | $140.23 | |
| 92551 | <1% | 12 | $81.50 | |
| 99173 | <1% | 17 | $29.04 | |
| 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% | 282 | $26.40 |
| 3078F | 0% | 31 | $0.00 | |
| 3008F | 0% | 63 | $0.00 | |
| 3074F | 0% | 34 | $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 (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Public Hospital Dist No 1 Skagit | Mount Vernon, WA | $88.65M |
| Public Hospital Dist No 1 Skagit | Mount Vernon, WA | $24.73M |
| Public Hospital Dist No 1 Skagit | Darrington, WA | $1.06M |
| 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.