Medicaid Provider Spending

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

THE POLYCLINIC PLLC

NPI: 1174594634 · SEATTLE, WA 98122 · Plastic Surgery Physician · NPI assigned 01/31/2006

$1.02M
Total Medicaid Paid
38,600
Total Claims
35,149
Beneficiaries
64
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPEPIN, CRAIG (PHYSICIAN/OWNER)
NPI Enumeration Date01/31/2006

Related Entities

Other providers sharing the same authorized official: PEPIN, CRAIG

ProviderCityStateTotal Paid
THE POLYCLINIC PLLC SEATTLE WA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,526 $110K
2019 2,688 $90K
2020 3,767 $76K
2021 14,808 $371K
2022 5,339 $164K
2023 5,050 $128K
2024 3,422 $82K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 5,132 4,359 $282K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,141 5,727 $207K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,453 3,239 $166K
90961 1,910 1,839 $75K
88305 Level IV - Surgical pathology, gross and microscopic examination 770 760 $50K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,135 2,780 $36K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,468 2,170 $30K
90962 751 703 $28K
77067 Screening mammography, bilateral, including computer-aided detection 342 339 $26K
90686 1,462 1,383 $19K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 207 187 $17K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 122 118 $11K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 253 247 $8K
0002A 210 209 $7K
77063 Screening digital breast tomosynthesis, bilateral 341 338 $6K
0003A 165 162 $6K
0001A 196 196 $5K
90674 189 185 $4K
97530 Therapeutic activities, direct patient contact, each 15 minutes 145 102 $4K
36415 Collection of venous blood by venipuncture 1,580 1,451 $3K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 50 50 $2K
0071A 62 62 $2K
11721 446 441 $2K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 5,013 4,254 $2K
0072A 58 57 $2K
0064A 53 52 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 278 274 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 74 49 $2K
92551 210 207 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 226 223 $1K
83970 135 130 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 12 $1K
91320 12 12 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 297 262 $779.48
99215 Prolong outpt/office vis 25 24 $776.53
82670 28 27 $772.15
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 42 42 $706.81
84403 30 28 $655.05
80069 220 207 $632.55
84443 Thyroid stimulating hormone (TSH) 37 37 $566.95
80053 Comprehensive metabolic panel 137 119 $410.53
84481 25 25 $401.64
82570 259 251 $332.11
90480 12 12 $320.00
90461 51 50 $263.04
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 79 74 $243.10
84439 25 25 $213.77
99152 39 38 $196.02
82043 132 127 $183.52
81001 86 83 $75.20
90656 26 26 $66.80
99173 39 39 $55.99
90688 18 16 $52.26
92134 14 12 $46.18
85610 14 12 $42.90
84156 13 12 $25.28
90670 16 15 $23.84
85027 14 14 $5.89
1036F 294 275 $0.00
1111F 12 12 $0.00
99000 494 460 $0.00
1159F 427 415 $0.00
1160F 81 81 $0.00