Physician
Sea Mar Community Health Centers
Sea Mar Community Health Centers was paid $916K by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoSEA MAR COMMUNITY HEALTH CENTERS
YELM, WA 98597
YELM, WA 98597
33aNPI1144643479assigned 01/22/2014
33bProvider typeFamily Medicine Physician
28Total paid$916K
24GClaims32,462
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Washington
Rank by total paid#69 of 347
Median peer was paid$53K
This provider vs. median17×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BARTOLO, MARY controls 20+ related entities in our dataset. Read more
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 | 1,966 | $53K | |
| 2019 | 3,314 | $97K | |
| 2020 | 3,499 | $101K | |
| 2021 | 3,448 | $128K | |
| 2022 | 2,272 | $113K | |
| 2023 | 7,769 | $252K | |
| 2024incomplete | 10,194 | $173K |
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 | 37% | 9,159 | 8,658 | $343K |
| 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 | 33% | 4,287 | 4,099 | $300K |
| 90677 | 3.6% | 185 | 181 | $33K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 493 | 490 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 362 | 359 | $23K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.5% | 770 | 739 | $23K |
| 90686 | 2.1% | 1,606 | 1,569 | $19K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 266 | 250 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 237 | 236 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 263 | 249 | $13K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 1.4% | 1,108 | 1,008 | $13K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 1,268 | 1,234 | $11K |
44 more codes
| 99442 | 1.1% | 297 | $10K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 476 | $9K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,103 | $7K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 857 | $5K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 816 | $4K |
| 90670 | <1% | 215 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 252 | $3K |
| 90651 | <1% | 280 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 386 | $2K |
| 90619 | <1% | 123 | $2K | |
| 90715 | <1% | 144 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 217 | $2K |
| 90656 | <1% | 179 | $2K | |
| 90697 | <1% | 94 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 30 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 42 | $2K |
| 90633 | <1% | 116 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 15 | $1K |
| 99441 | <1% | 60 | $1K | |
| 90739 | <1% | 65 | $1K | |
| 82948 | <1% | 387 | $1K | |
| 80061 | Lipid panel | <1% | 102 | $1K |
| 90480 | <1% | 28 | $1K | |
| G0467 | Community health center visit, returning patient | <1% | 1,248 | $870.48 |
| 90710 | <1% | 80 | $850.84 | |
| 82043 | <1% | 205 | $783.32 | |
| 82274 | <1% | 33 | $473.41 | |
| 90746 | <1% | 31 | $462.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 13 | $341.00 |
| 90620 | <1% | 12 | $294.85 | |
| 90681 | <1% | 13 | $255.97 | |
| 81002 | <1% | 72 | $182.46 | |
| 94010 | <1% | 12 | $177.43 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $136.40 |
| 90658 | <1% | 15 | $131.60 | |
| 3044F | <1% | 183 | $100.00 | |
| 90734 | <1% | 13 | $94.20 | |
| 90648 | <1% | 13 | $66.16 | |
| 3078F | <1% | 1,115 | $0.02 | |
| 3074F | <1% | 1,184 | $0.01 | |
| 1159F | 0% | 741 | $0.00 | |
| 1160F | 0% | 637 | $0.00 | |
| 3079F | 0% | 331 | $0.00 | |
| 3075F | 0% | 211 | $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 officialBARTOLO, MARY (EXECUTIVE VICE PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.