Physician
Kaiser Foundation Health Plan of Washington
Kaiser Foundation Health Plan of Washington was paid $7.54M by Medicaid between Jan 2018 and Dec 2024, across 103 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoKAISER FOUNDATION HEALTH PLAN OF WASHINGTON
RENTON, WA 98057
RENTON, WA 98057
33aNPI1124264577assigned 01/06/2009
33bProvider typeFamily Medicine Physician
28Total paid$7.54M
24GClaims316,932
24DCodes billed103
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Washington
Rank by total paid#19 of 347
Median peer was paid$53K
This provider vs. median143×
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 | 44,449 | $1.22M | |
| 2019 | 55,547 | $1.60M | |
| 2020 | 34,391 | $676K | |
| 2021 | 52,296 | $974K | |
| 2022 | 52,707 | $1.21M | |
| 2023 | 53,163 | $1.27M | |
| 2024incomplete | 24,379 | $587K |
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 | 46% | 59,105 | 56,872 | $3.43M |
| 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 | 17% | 18,802 | 17,970 | $1.25M |
| 36415 | Collection of venous blood by venipuncture | 4.5% | 89,929 | 79,641 | $339K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.1% | 5,835 | 4,370 | $310K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 3.7% | 2,771 | 2,693 | $277K |
| 90686 | 2.4% | 10,609 | 10,534 | $180K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 8,366 | 8,147 | $131K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.6% | 15,916 | 13,933 | $120K |
| 80053 | Comprehensive metabolic panel | 1.5% | 10,988 | 9,872 | $111K |
| 81025 | 1.4% | 13,801 | 12,978 | $109K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 1,025 | 1,017 | $108K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 957 | 902 | $94K |
91 more codes
| 99442 | <1% | 1,545 | $69K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 599 | $62K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,057 | $57K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 578 | $54K |
| 0002A | <1% | 1,320 | $49K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 1,013 | $46K |
| 91320 | <1% | 364 | $45K | |
| 99443 | <1% | 643 | $44K | |
| 0012A | <1% | 1,115 | $44K | |
| 0001A | <1% | 1,360 | $42K | |
| 0011A | <1% | 1,093 | $38K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 7,645 | $36K |
| 84484 | <1% | 2,861 | $34K | |
| 81001 | <1% | 10,002 | $31K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 3,438 | $28K |
| 99441 | <1% | 988 | $28K | |
| 83690 | <1% | 3,913 | $26K | |
| 90837 | Psychotherapy session, about an hour | <1% | 270 | $25K |
| 0004A | <1% | 514 | $21K | |
| 87210 | <1% | 3,666 | $20K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,930 | $20K |
| 0064A | <1% | 463 | $19K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 176 | $19K |
| 90480 | <1% | 429 | $17K | |
| 81003 | <1% | 7,030 | $16K | |
| 83880 | <1% | 366 | $14K | |
| 86140 | <1% | 2,714 | $13K | |
| 85610 | <1% | 2,739 | $11K | |
| 85379 | <1% | 1,105 | $11K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 449 | $11K |
| 80305 | <1% | 866 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 257 | $10K |
| 83605 | <1% | 896 | $10K | |
| 0071A | <1% | 213 | $9K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 93 | $8K |
| 84702 | <1% | 533 | $7K | |
| 0124A | <1% | 170 | $7K | |
| 0072A | <1% | 153 | $7K | |
| 92551 | <1% | 726 | $6K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 105 | $5K |
| 90688 | <1% | 327 | $5K | |
| 0031A | <1% | 138 | $5K | |
| 90685 | <1% | 327 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 45 | $4K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 50 | $4K |
| 90656 | <1% | 241 | $4K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 29 | $4K |
| 0134A | <1% | 79 | $3K | |
| 90670 | <1% | 188 | $3K | |
| 95800 | <1% | 84 | $2K | |
| 83735 | <1% | 260 | $2K | |
| 85027 | <1% | 199 | $1K | |
| 82565 | <1% | 221 | $1K | |
| 90651 | <1% | 69 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 122 | $1K |
| 0054A | <1% | 25 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $846.80 |
| 90672 | <1% | 51 | $832.55 | |
| 82247 | <1% | 162 | $800.63 | |
| 98968 | <1% | 15 | $635.50 | |
| 76830 | Ultrasound, transvaginal | <1% | 12 | $602.14 |
| 0111A | <1% | 14 | $568.00 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 12 | $530.13 |
| 80050 | General health panel | <1% | 15 | $527.55 |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 12 | $519.95 |
| 90680 | <1% | 26 | $463.77 | |
| 99173 | <1% | 198 | $363.87 | |
| 92134 | <1% | 13 | $323.24 | |
| 90734 | <1% | 15 | $268.50 | |
| 90697 | <1% | 12 | $259.92 | |
| 90715 | <1% | 13 | $232.70 | |
| 85651 | <1% | 53 | $229.32 | |
| 99188 | <1% | 15 | $218.70 | |
| 90710 | <1% | 13 | $136.37 | |
| 90647 | <1% | 12 | $125.88 | |
| 86308 | <1% | 13 | $53.64 | |
| 85652 | <1% | 12 | $30.61 | |
| 91300 | 0% | 2,664 | $0.00 | |
| 91312 | 0% | 163 | $0.00 | |
| 90611 | 0% | 15 | $0.00 | |
| 91311 | 0% | 30 | $0.00 | |
| 91313 | 0% | 74 | $0.00 | |
| 91301 | 0% | 1,995 | $0.00 | |
| 91307 | 0% | 371 | $0.00 | |
| 91306 | 0% | 390 | $0.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 357 | $0.00 |
| 91303 | 0% | 56 | $0.00 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | 0% | 106 | $0.00 |
| 99024 | 0% | 64 | $0.00 | |
| 99384 | 0% | 16 | $0.00 | |
| 91305 | 0% | 25 | $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 officialBARLOW, MICHELLE (MANAGER)
Parent organizationKAISER FOUNDATION HEALTH PLAN OF WASHINGTON
| Provider | Location | Paid |
|---|---|---|
| Kaiser Foundation Health Plan of Washington | Renton, WA | $11.76M |
| Kaiser Foundation Health Plan of Washington | Renton, WA | $1.30M |
| Kaiser Foundation Health Plan of Washington | Seattle, WA | $484K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.