Clinic
Sunnyside Community Hospital Association
Sunnyside Community Hospital Association was paid $316K by Medicaid between Jan 2018 and Oct 2019, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoSUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
UNION GAP, WA 98903
UNION GAP, WA 98903
33aNPI1154861847assigned 03/01/2017
33bProvider typeRural Health Clinic/Center
28Total paid$316K
24GClaims9,344
24DCodes billed24
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other Rural Health Clinic/Center providers in Washington
Rank by total paid#60 of 90
Median peer was paid$925K
This provider vs. median0.3×
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 MATHIESEN, MATHEW controls 13+ 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 | 5,247 | $173K | |
| 2019 | 4,097 | $143K |
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 | 62% | 4,644 | 4,065 | $197K |
| 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 | 27% | 1,717 | 1,597 | $85K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 99 | 91 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 52 | 51 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.5% | 405 | 343 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 52 | 52 | $4K |
| 36415 | Collection of venous blood by venipuncture | 1.2% | 1,724 | 1,618 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 25 | 25 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 160 | 153 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | 13 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 98 | 95 | $1K |
| 90756 | <1% | 47 | 46 | $978.35 |
12 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $932.11 |
| 90686 | <1% | 72 | $875.40 | |
| 90688 | <1% | 46 | $720.91 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 32 | $408.46 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $382.67 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 18 | $200.35 |
| 90670 | <1% | 28 | $166.88 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 16 | $161.80 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 29 | $127.72 |
| 81001 | <1% | 15 | $54.17 | |
| 81002 | <1% | 12 | $33.71 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | $26.88 |
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 officialMATHIESEN, MATHEW (CFO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.