Dental
Swinomish Health Services
Swinomish Health Services was paid $195.93M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoSWINOMISH HEALTH SERVICES
ANACORTES, WA 98221
ANACORTES, WA 98221
33aNPI1134632599assigned 11/08/2017
33bProvider typeDentist
28Total paid$195.93M
24GClaims832,481
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Washington
Rank by total paid#1 of 335
Median peer was paid$30K
This provider vs. median6,425×
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 | 75,337 | $13.56M | |
| 2019 | 125,834 | $23.91M | |
| 2020 | 124,754 | $23.95M | |
| 2021 | 116,083 | $25.42M | |
| 2022 | 142,964 | $37.27M | |
| 2023 | 136,133 | $37.77M | |
| 2024incomplete | 111,376 | $34.05M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 95% | 406,251 | 47,304 | $186.63M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 2.5% | 298,296 | 18,856 | $4.91M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 24,046 | 15,917 | $1.55M |
| 96153 | <1% | 15,959 | 2,709 | $529K | |
| 96165 | <1% | 20,405 | 4,540 | $445K | |
| 96164 | <1% | 20,581 | 4,603 | $388K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 11,018 | 8,717 | $317K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 3,519 | 1,958 | $265K |
| H0001 | Alcohol and/or drug assessment | <1% | 1,761 | 1,657 | $228K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 5,072 | 4,005 | $192K |
| 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 | <1% | 2,155 | 1,554 | $119K |
| H0033 | Oral medication administration, direct observation | <1% | 9,405 | 659 | $118K |
38 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,438 | $66K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 5,160 | $58K |
| 93000 | <1% | 1,629 | $13K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 136 | $11K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 206 | $10K |
| D0140 | Limited oral evaluation - problem focused | <1% | 276 | $10K |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | <1% | 485 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 139 | $8K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,002 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 128 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 52 | $4K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 42 | $4K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 51 | $3K |
| D0330 | Panoramic radiographic image | <1% | 110 | $3K |
| 86703 | <1% | 261 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 47 | $3K |
| 0031A | <1% | 60 | $2K | |
| 0012A | <1% | 105 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 193 | $2K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 142 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 17 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 34 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 107 | $1K |
| 90636 | <1% | 12 | $1K | |
| D0120 | Dental checkup, returning patient | <1% | 29 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 89 | $1K |
| 0011A | <1% | 111 | $1K | |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | <1% | 282 | $956.67 |
| 81025 | <1% | 110 | $814.38 | |
| 90661 | <1% | 20 | $737.00 | |
| 90686 | <1% | 29 | $618.45 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 77 | $579.60 |
| 90674 | <1% | 18 | $509.22 | |
| D1110 | Prophylaxis - adult | <1% | 12 | $275.04 |
| 36416 | <1% | 18 | $45.28 | |
| 91301 | 0% | 222 | $0.00 | |
| 91303 | 0% | 60 | $0.00 | |
| D0350 | 0% | 104 | $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 officialKEYES, BEVERLY (CHIEF EXECUTIVE OFFICER - INTERIM)
Parent organizationSWINOMISH INDIAN TRIBAL COMMUNITY
| Provider | Location | Paid |
|---|---|---|
| Swinomish Health Services | Anacortes, WA | $3.36M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.