SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
NPI: 1154861847
· UNION GAP, WA 98903
· Rural Health Clinic/Center
$316K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,247 |
$173K |
| 2019 |
4,097 |
$143K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
4,644 |
4,065 |
$197K |
| 99214 |
|
1,717 |
1,597 |
$85K |
| 99215 |
Prolong outpt/office vis |
99 |
91 |
$5K |
| 99392 |
|
52 |
51 |
$5K |
| 96372 |
|
405 |
343 |
$5K |
| 99391 |
|
52 |
52 |
$4K |
| 36415 |
|
1,724 |
1,618 |
$4K |
| 99393 |
|
25 |
25 |
$2K |
| 90471 |
|
160 |
153 |
$1K |
| 99395 |
|
13 |
13 |
$1K |
| 87880 |
|
98 |
95 |
$1K |
| 90756 |
|
47 |
46 |
$978.35 |
| 99204 |
|
14 |
12 |
$932.11 |
| 90686 |
|
72 |
71 |
$875.40 |
| 90688 |
|
46 |
46 |
$720.91 |
| 87804 |
|
32 |
32 |
$408.46 |
| 99212 |
|
13 |
12 |
$382.67 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
18 |
18 |
$200.35 |
| 90670 |
|
28 |
28 |
$166.88 |
| 83036 |
|
16 |
16 |
$161.80 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
29 |
29 |
$127.72 |
| 81001 |
|
15 |
15 |
$54.17 |
| 81002 |
|
12 |
12 |
$33.71 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$26.88 |