WESTERN WASHINGTON MEDICAL GROUP, INC PS
NPI: 1134460959
· ARLINGTON, WA 98223
· Family Medicine Physician
· NPI assigned 03/04/2013
$210K
Total Medicaid Paid
Provider Details
| Authorized Official | HOLSTEIN, KIMBERLY (DIRECTOR PFS) |
| Parent Organization | WESTERN WASHINGTON MEDICAL GROUP, INC, PS |
| NPI Enumeration Date | 03/04/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,077 |
$50K |
| 2019 |
583 |
$23K |
| 2020 |
427 |
$18K |
| 2021 |
696 |
$29K |
| 2022 |
723 |
$36K |
| 2023 |
681 |
$34K |
| 2024 |
624 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,340 |
3,027 |
$147K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
883 |
800 |
$41K |
| 99222 |
Initial hospital care, per day, moderate complexity |
138 |
135 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
76 |
74 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
105 |
93 |
$3K |
| 90686 |
|
25 |
24 |
$407.14 |
| 3074F |
|
51 |
46 |
$0.00 |
| 1160F |
|
74 |
65 |
$0.00 |
| 1159F |
|
86 |
74 |
$0.00 |
| 3078F |
|
33 |
29 |
$0.00 |