Medicaid Provider Spending

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

EVERGREEN PEDIATRICS PLLC

NPI: 1184885675 · KIRKLAND, WA 98033 · Primary Care Clinic/Center · NPI assigned 06/18/2008

$2.52M
Total Medicaid Paid
67,880
Total Claims
64,815
Beneficiaries
51
Codes Billed
2018-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAEES, BASMA (OWNER)
Parent OrganizationBASMA RAEES
NPI Enumeration Date06/18/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,421 $85K
2019 9,778 $369K
2020 8,380 $281K
2021 10,724 $375K
2022 14,549 $571K
2023 11,991 $464K
2024 10,037 $375K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,945 10,815 $829K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,675 6,990 $776K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,010 2,800 $257K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,270 2,239 $208K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,339 1,321 $125K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 575 564 $58K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,658 1,552 $51K
99381 269 262 $24K
99174 5,416 5,328 $20K
36416 6,563 6,444 $19K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,936 1,868 $17K
90670 1,069 1,045 $16K
85018 6,658 6,539 $14K
90686 959 948 $12K
90680 804 787 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 850 821 $7K
90671 441 433 $7K
96127 1,846 1,794 $6K
90698 363 356 $5K
90633 331 320 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 254 243 $5K
90472 Immunization administration, each additional vaccine (list separately) 393 388 $4K
88738 975 961 $4K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 213 198 $4K
90688 238 236 $4K
90648 230 227 $4K
90697 161 159 $3K
90672 190 186 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 170 166 $2K
90723 142 140 $2K
90651 157 153 $2K
99215 Prolong outpt/office vis 16 15 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 4,977 4,817 $2K
99382 12 12 $1K
99383 12 12 $1K
90716 66 66 $1K
96161 738 719 $973.32
90685 56 54 $890.50
90707 41 41 $670.34
95012 48 44 $547.35
90744 26 26 $470.75
90734 27 27 $439.29
90461 2,512 2,458 $350.70
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 29 29 $309.50
90696 14 12 $184.93
81002 53 49 $147.50
G2024 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source 15 13 $97.56
90619 12 12 $26.20
2001F 45 45 $0.00
2010F 40 40 $0.00
90473 41 41 $0.00