Supplier
Optum Care Washington PLLC
Optum Care Washington PLLC was paid $937K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 45385, Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) — 36% of everything it billed.
33Billing provider infoOPTUM CARE WASHINGTON PLLC
EVERETT, WA 98201
EVERETT, WA 98201
33aNPI1154318103assigned 10/04/2005
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$937K
24GClaims24,005
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Washington
Rank by total paid#34 of 233
Median peer was paid$1K
This provider vs. median669×
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 | 4,490 | $190K | |
| 2019 | 4,181 | $201K | |
| 2020 | 3,390 | $145K | |
| 2021 | 3,248 | $98K | |
| 2022 | 3,230 | $82K | |
| 2023 | 2,962 | $118K | |
| 2024incomplete | 2,504 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 36% | 2,088 | 2,048 | $334K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 29% | 2,080 | 2,049 | $274K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 22% | 1,517 | 1,491 | $210K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 9.3% | 359 | 354 | $87K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 3.4% | 583 | 468 | $32K |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | <1% | 1,609 | 1,574 | $63.00 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | <1% | 8,733 | 8,342 | $33.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 7,036 | 6,701 | $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 officialGO, GEORGE (BOARD PRESIDENT)
Parent organizationEVERETT PHYSICIANS, INC. P.S.
| Provider | Location | Paid |
|---|---|---|
| Optum Care Washington PLLC | Everett, WA | $19.52M |
| Optum Care Washington PLLC | Edmonds, WA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.