Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PACIFIC-FIRE MEDICAL SERVICES PLLC

NPI: 1043560261 · SHORELINE, WA 98133 · Internal Medicine Physician · NPI assigned 09/14/2012

$674.21
Total Medicaid Paid
378
Total Claims
365
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-03
Last Month

Provider Details

Authorized OfficialSADEGHALVAD, AZAR (PRESIDENT)
NPI Enumeration Date09/14/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 378 $674.21

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 110 97 $450.71
99490 Ccm add 20min 256 256 $192.38
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $31.12