Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Sea Mar Community Health Centers

Sea Mar Community Health Centers was paid $500K by Medicaid between Jan 2018 and Mar 2021, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.

33Billing provider infoSEA MAR COMMUNITY HEALTH CENTERS
EVERETT, WA 98203
33aNPI1174784185assigned 06/23/2008
28Total paid$500K
24GClaims5,334
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers

Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Washington

Rank by total paid#28 of 48
Median peer was paid$632K
This provider vs. median0.8×

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 RIOJAS, ROGELIO controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20183,878$377K
20191,135$115K
2020160$4K
2021161$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 97% 2,537 778 $483K
96153 1.7% 1,879 510 $8K
96165 <1% 130 43 $4K
96164 <1% 133 43 $2K
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 457 372 $2K
H0001 Alcohol and/or drug assessment <1% 169 165 $662.25
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 29 28 $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 officialRIOJAS, ROGELIO (CEO)
Same official

Other billing entities under RIOJAS, ROGELIO

Full network →

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