Medicaid Provider Spending

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

SHC MEDICAL CENTER - YAKIMA

NPI: 1114443660 · YAKIMA, WA 98902 · General Acute Care Hospital · NPI assigned 08/16/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MATHIESEN, MATHEW controls 13+ related entities in our dataset. Read more

$6.93M
Total Medicaid Paid
304,788
Total Claims
247,975
Beneficiaries
230
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialMATHIESEN, MATHEW (CFO)
NPI Enumeration Date08/16/2017

Related Entities

Other providers sharing the same authorized official: MATHIESEN, MATHEW

ProviderCityStateTotal Paid
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION SUNNYSIDE WA $55.09M
SHC MEDICAL CENTER TOPPENISH TOPPENISH WA $15.10M
SHC MEDICAL CENTER TOPPENISH UNION GAP WA $4.99M
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION PROSSER WA $2.35M
SHC MEDICAL CENTER TOPPENISH ZILLAH WA $663K
SHC MEDICAL CENTER TOPPENISH TOPPENISH WA $381K
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION UNION GAP WA $316K
SUNNYSIDE COMMUNITY HOSPITAL YAKIMA WA $51K
SHC MEDICAL CENTER - YAKIMA YAKIMA WA $11K
SUNNYSIDE COMMUNITY HOSPITAL SUNNYSIDE WA $4K
SUNNYSIDE COMMUNITY HOSPITAL SUNNYSIDE WA $860.66
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION YAKIMA WA $839.86
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION UNION GAP WA $696.97

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 150,190 $3.38M
2019 151,192 $3.47M
2020 3,406 $86K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 20,230 17,234 $1.77M
96361 Intravenous infusion, hydration; each additional hour 5,356 4,274 $1.41M
99284 Emergency department visit for the evaluation and management, high severity 12,015 10,194 $708K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,287 3,803 $368K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,742 1,587 $279K
70450 Computed tomography, head or brain; without contrast material 1,974 1,718 $214K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,599 3,919 $210K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,106 2,586 $182K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,313 1,172 $164K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,160 1,794 $147K
74176 Computed tomography, abdomen and pelvis; without contrast material 923 833 $140K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,048 967 $108K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 651 485 $99K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,138 1,676 $89K
10060 449 393 $81K
80053 Comprehensive metabolic panel 13,225 10,787 $75K
12001 321 296 $60K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,464 1,618 $54K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 338 301 $51K
76705 Ultrasound, abdominal, real time with image documentation; limited 481 455 $39K
76700 Ultrasound, abdominal, real time with image documentation; complete 375 368 $33K
70551 Magnetic resonance imaging, brain; without contrast material 176 168 $30K
97161 825 787 $30K
43235 86 79 $28K
29125 133 118 $26K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,011 374 $26K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 84 77 $24K
84484 4,680 3,396 $22K
97162 687 634 $22K
G0378 Hospital observation service, per hour 2,001 904 $21K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 494 459 $18K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,289 1,196 $18K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,229 1,664 $17K
76830 Ultrasound, transvaginal 356 343 $17K
80050 General health panel 2,226 2,050 $16K
83880 2,971 2,539 $15K
83605 1,976 1,629 $15K
97750 814 709 $15K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,004 1,506 $13K
80048 Basic metabolic panel (calcium, ionized) 2,443 2,010 $12K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 15,554 12,340 $11K
71046 Radiologic examination, chest; 2 views 4,477 4,004 $9K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 85 83 $9K
71275 Computed tomographic angiography, chest, with contrast material 87 78 $9K
80061 Lipid panel 2,121 2,033 $9K
12011 41 39 $9K
72125 Computed tomography, cervical spine; without contrast material 552 493 $8K
87040 934 652 $8K
36415 Collection of venous blood by venipuncture 13,142 10,196 $8K
97116 580 299 $8K
80306 3,532 3,148 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 711 692 $7K
93458 17 13 $6K
93971 81 73 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,045 4,878 $6K
72100 604 565 $6K
76801 97 89 $6K
10061 33 30 $6K
85379 975 877 $6K
84443 Thyroid stimulating hormone (TSH) 1,028 969 $5K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 15 12 $5K
73030 678 610 $4K
90714 230 221 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 18 13 $3K
71045 Radiologic examination, chest; single view 3,229 2,794 $3K
73562 753 687 $3K
84439 513 492 $3K
76642 44 40 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 25 24 $3K
87086 Culture, bacterial; quantitative colony count, urine 3,388 3,010 $3K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 26 24 $3K
76937 86 78 $3K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 119 99 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 65 64 $3K
77067 Screening mammography, bilateral, including computer-aided detection 64 62 $3K
73630 624 560 $2K
73610 799 729 $2K
12002 12 12 $2K
73130 636 576 $2K
C1769 Guide wire 300 245 $2K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 17 15 $2K
93017 13 13 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,293 1,198 $2K
73110 420 385 $2K
83036 Hemoglobin; glycosylated (A1C) 581 541 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 29 27 $2K
86780 149 143 $2K
87070 1,272 1,126 $2K
84702 538 440 $2K
70486 59 54 $1K
86140 920 833 $1K
74018 425 400 $1K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 106 97 $1K
36000 63 51 $1K
85652 695 627 $1K
84145 92 84 $1K
87081 3,459 3,154 $1K
73502 183 172 $1K
83735 6,493 5,371 $1K
83690 6,723 5,638 $1K
81001 6,892 6,068 $983.45
87186 1,952 1,743 $791.49
73140 314 282 $790.47
72131 13 12 $749.49
71260 Computed tomography, thorax, diagnostic; with contrast material 52 45 $741.11
72040 76 70 $729.01
82550 334 293 $683.05
86900 505 429 $654.13
C1887 Catheter, guiding (may include infusion/perfusion capability) 126 108 $619.12
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 214 160 $606.13
85610 3,912 3,314 $587.34
87077 844 746 $528.94
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,823 2,633 $469.10
81025 3,779 3,380 $469.00
87340 132 126 $450.31
87205 1,213 1,058 $449.10
86803 110 108 $424.37
86038 77 76 $405.75
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 13 12 $403.82
77080 13 13 $403.60
85027 184 157 $373.71
83550 68 67 $360.25
87147 1,003 925 $336.09
84703 1,296 1,191 $322.70
82150 674 583 $314.76
86901 604 515 $312.83
86850 219 200 $286.81
87088 564 514 $256.68
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,781 3,093 $242.61
73590 26 26 $227.53
72070 13 13 $227.35
82607 29 25 $209.81
86431 54 53 $205.99
85730 2,569 2,248 $201.05
73090 39 37 $190.96
83540 68 67 $180.04
80074 28 26 $175.04
84550 72 69 $149.82
88305 Level IV - Surgical pathology, gross and microscopic examination 159 150 $146.14
97035 53 24 $143.10
73080 87 82 $125.68
88313 29 28 $124.68
71101 65 64 $114.44
82140 211 187 $112.25
87210 494 452 $104.49
85007 54 42 $102.90
81003 1,682 1,515 $93.55
86704 16 14 $89.96
73560 12 12 $89.94
87807 602 549 $83.88
86701 14 12 $64.01
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 622 572 $59.61
87045 45 42 $56.46
82803 174 141 $53.27
73620 13 12 $50.66
86308 68 65 $49.53
86706 15 13 $47.41
86708 14 13 $47.41
J2704 Injection, propofol, 10 mg 1,929 1,690 $45.61
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 19 19 $42.17
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 463 429 $36.68
86702 14 12 $35.11
87493 30 29 $34.91
87046 45 42 $28.23
87899 44 41 $28.23
87177 29 28 $21.57
81002 597 509 $20.68
82270 67 56 $15.10
82272 61 57 $14.23
82248 51 47 $11.38
87015 48 43 $8.73
36600 14 12 $3.71
84132 16 12 $3.37
81015 42 41 $2.79
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 1,424 1,234 $2.40
J1885 Injection, ketorolac tromethamine, per 15 mg 3,718 3,138 $2.31
J7030 Infusion, normal saline solution , 1000 cc 4,934 3,852 $2.31
J1170 Injection, hydromorphone, up to 4 mg 2,962 2,185 $1.15
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,701 1,553 $1.02
J7120 Ringers lactate infusion, up to 1000 cc 1,156 991 $1.01
J2250 Injection, midazolam hydrochloride, per 1 mg 993 894 $0.09
J0690 Injection, cefazolin sodium, 500 mg 931 729 $0.00
96375 Therapeutic injection; each additional sequential IV push 5,235 4,210 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 2,088 1,597 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 145 129 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 15 12 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 1,443 1,113 $0.00
94760 1,100 897 $0.00
A9270 Non-covered item or service 2,082 832 $0.00
88304 47 43 $0.00
96376 1,786 1,282 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 802 697 $0.00
J8540 Dexamethasone, oral, 0.25 mg 658 606 $0.00
J7050 Infusion, normal saline solution, 250 cc 999 812 $0.00
J1815 Injection, insulin, per 5 units 834 335 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 929 770 $0.00
J2060 Injection, lorazepam, 2 mg 1,010 828 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 480 440 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 777 671 $0.00
94761 440 352 $0.00
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,808 4,931 $0.00
P9612 Catheterization for collection of specimen, single patient, all places of service 45 38 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 1,239 1,030 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 337 172 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 17 17 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 117 93 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 32 26 $0.00
A9585 Injection, gadobutrol, 0.1 ml 16 12 $0.00
J1630 Injection, haloperidol, up to 5 mg 35 28 $0.00
J1644 Injection, heparin sodium, per 1000 units 1,291 666 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,501 1,222 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 706 582 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,859 2,577 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 438 356 $0.00
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 473 412 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 1,607 1,307 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 239 185 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 180 168 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 2,430 1,807 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 77 67 $0.00
S0164 Injection, pantoprazole sodium, 40 mg 176 128 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 200 157 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,516 4,391 $0.00
82009 96 76 $0.00
82948 48 39 $0.00
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 244 200 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 160 79 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 51 47 $0.00
51702 12 12 $0.00
C9113 Injection, pantoprazole sodium, per vial 36 33 $0.00