Physician
Franciscan Medical Group
Franciscan Medical Group was paid $171K by Medicaid between Jan 2018 and Jun 2021, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoFRANCISCAN MEDICAL GROUP
SILVERDALE, WA 98383
SILVERDALE, WA 98383
33aNPI1093165334assigned 06/17/2016
33bProvider typeOrthopaedic Surgery Physician
28Total paid$171K
24GClaims3,944
24DCodes billed14
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Washington
Rank by total paid#6 of 19
Median peer was paid$70K
This provider vs. median2.4×
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 | 1,416 | $58K | |
| 2019 | 1,141 | $50K | |
| 2020 | 830 | $39K | |
| 2021 | 557 | $23K |
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 | 58% | 2,355 | 2,188 | $99K |
| 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 | 18% | 599 | 563 | $31K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 356 | 345 | $23K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.6% | 182 | 173 | $4K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.9% | 88 | 36 | $3K |
| 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 | 1.4% | 27 | 24 | $2K |
| 73130 | 1.2% | 107 | 81 | $2K | |
| 73630 | 1.1% | 121 | 106 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 12 | 12 | $1K |
| 72110 | <1% | 43 | 41 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 15 | 14 | $857.95 |
| 29125 | <1% | 12 | 12 | $508.60 |
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 officialNOSACKA, DAVID (CFO)
| Provider | Location | Paid |
|---|---|---|
| Franciscan Medical Group | Tacoma, WA | $92.98M |
| Franciscan Medical Group | Silverdale, WA | $7.67M |
| Franciscan Health System | University Place, WA | $6.38M |
| Franciscan Health System | Tacoma, WA | $2.66M |
| Franciscan Medical Group | Tacoma, WA | $44K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.