The Polyclinic PLLC

The Polyclinic PLLC was paid $1.02M by Medicaid between Jan 2018 and Nov 2024, across 64 billing codes. Its largest line is 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 — 28% of everything it billed.

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	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	28%	5,132	4,359	$282K
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	20%	6,141	5,727	$207K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	3,453	3,239	$166K
90961		7.3%	1,910	1,839	$75K
88305	Level IV - Surgical pathology, gross and microscopic examination	4.9%	770	760	$50K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	3.5%	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	3.0%	2,468	2,170	$30K
90962		2.7%	751	703	$28K
77067	Screening mammography, bilateral, including computer-aided detection	2.5%	342	339	$26K
90686		1.9%	1,462	1,383	$19K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1.6%	207	187	$17K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1.0%	122	118	$11K

52 more codes

92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	253	$8K
0002A		<1%	210	$7K
77063	Screening digital breast tomosynthesis, bilateral	<1%	341	$6K
0003A		<1%	165	$6K
0001A		<1%	196	$5K
90674		<1%	189	$4K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	145	$4K
36415	Collection of venous blood by venipuncture	<1%	1,580	$3K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	50	$2K
0071A		<1%	62	$2K
11721		<1%	446	$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	<1%	5,013	$2K
0072A		<1%	58	$2K
0064A		<1%	53	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	278	$2K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	74	$2K
92551		<1%	210	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	226	$1K
83970		<1%	135	$1K
99204	Doctor's office visit, new patient (more involved)	<1%	12	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	13	$1K
91320		<1%	12	$1K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	297	$779.48
99215	Doctor's office visit, returning patient (complex)	<1%	25	$776.53
82670		<1%	28	$772.15
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	42	$706.81
84403		<1%	30	$655.05
80069		<1%	220	$632.55
84443	Thyroid stimulating hormone (TSH)	<1%	37	$566.95
80053	Comprehensive metabolic panel	<1%	137	$410.53
84481		<1%	25	$401.64
82570		<1%	259	$332.11
90480		<1%	12	$320.00
90461		<1%	51	$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)	<1%	79	$243.10
84439		<1%	25	$213.77
99152		<1%	39	$196.02
82043		<1%	132	$183.52
81001		<1%	86	$75.20
90656		<1%	26	$66.80
99173		<1%	39	$55.99
90688		<1%	18	$52.26
92134		<1%	14	$46.18
85610		<1%	14	$42.90
84156		<1%	13	$25.28
90670		<1%	16	$23.84
85027		<1%	14	$5.89
1036F		0%	294	$0.00
1111F		0%	12	$0.00
99000		0%	494	$0.00
1159F		0%	427	$0.00
1160F		0%	81	$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 officialPEPIN, CRAIG (PHYSICIAN/OWNER)

Same official

Other billing entities under PEPIN, CRAIG

Full network →

Provider	Location	Paid
The Polyclinic PLLC	Seattle, WA	$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.