Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION

NPI: 1154861847 · UNION GAP, WA 98903 · Rural Health Clinic/Center · NPI assigned 03/01/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MATHIESEN, MATHEW controls 13+ related entities in our dataset. Read more

$316K
Total Medicaid Paid
9,344
Total Claims
8,452
Beneficiaries
24
Codes Billed
2018-01
First Month
2019-10
Last Month

Provider Details

Authorized OfficialMATHIESEN, MATHEW (CFO)
NPI Enumeration Date03/01/2017

Related Entities

Other providers sharing the same authorized official: MATHIESEN, MATHEW

ProviderCityStateTotal Paid
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION SUNNYSIDE WA $55.09M
SHC MEDICAL CENTER TOPPENISH TOPPENISH WA $15.10M
SHC MEDICAL CENTER - YAKIMA YAKIMA WA $6.93M
SHC MEDICAL CENTER TOPPENISH UNION GAP WA $4.99M
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION PROSSER WA $2.35M
SHC MEDICAL CENTER TOPPENISH ZILLAH WA $663K
SHC MEDICAL CENTER TOPPENISH TOPPENISH WA $381K
SUNNYSIDE COMMUNITY HOSPITAL YAKIMA WA $51K
SHC MEDICAL CENTER - YAKIMA YAKIMA WA $11K
SUNNYSIDE COMMUNITY HOSPITAL SUNNYSIDE WA $4K
SUNNYSIDE COMMUNITY HOSPITAL SUNNYSIDE WA $860.66
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION YAKIMA WA $839.86
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION UNION GAP WA $696.97

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,247 $173K
2019 4,097 $143K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,644 4,065 $197K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,717 1,597 $85K
99215 Prolong outpt/office vis 99 91 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 52 51 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 405 343 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 52 52 $4K
36415 Collection of venous blood by venipuncture 1,724 1,618 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 25 25 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 160 153 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 98 95 $1K
90756 47 46 $978.35
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 12 $932.11
90686 72 71 $875.40
90688 46 46 $720.91
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 32 32 $408.46
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 12 $382.67
J1040 Injection, methylprednisolone acetate, 80 mg 18 18 $200.35
90670 28 28 $166.88
83036 Hemoglobin; glycosylated (A1C) 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