WESTERN WASHINGTON MEDICAL GROUP, INC PS

NPI: 1215155619 · EVERETT, WA 98208 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 04/23/2007

$1.31M

Total Medicaid Paid

17,640

Total Claims

11,264

Beneficiaries

Codes Billed

2018-01

First Month

2024-11

Last Month

Provider Details

Authorized Official	MCGINNIS, VICKI (PRIVACY OFFICER)
Parent Organization	WESTERN WASHINGTON MEDICAL GROUP
NPI Enumeration Date	04/23/2007

Other providers sharing the same authorized official: MCGINNIS, VICKI

Provider	City	State	Total Paid
WESTERN WASHINGTON MEDICAL GROUP, INC PS	EVERETT	WA	$179K
WESTERN WASHINGTON MEDICAL GROUP, INC PS	EVERETT	WA	$138K
WESTERN WASHINGTON MEDICAL GROUP, INC PS	EVERETT	WA	$100K
WESTERN WASHINGTON MEDICAL GROUP, INC PS	EVERETT	WA	$67K
WESTERN WASHINGTON MEDICAL GROUP, INC PS	EVERETT	WA	$54K
WESTERN WASHINGTON MEDICAL GROUP, INC PS	SNOHOMISH	WA	$31K
WESTERN WASHINGTON MEDICAL GROUP, INC PS	EVERETT	WA	$172.15

Code	Description	Claims	Beneficiaries	Total Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	11,863	6,272	$1.12M
99233	Prolong inpt eval add15 m	2,129	1,476	$97K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	326	311	$22K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	543	516	$18K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	371	347	$15K
0012A		372	372	$14K
0011A		379	376	$10K
0001A		101	100	$4K
0002A		78	78	$3K
0071A		76	75	$3K
0072A		43	43	$2K
99215	Prolong outpt/office vis	28	26	$2K
94726		107	103	$993.21
94729		107	103	$978.97
0064A		19	18	$720.00
99232	Subsequent hospital care, per day, moderate complexity	27	16	$646.45
94060		15	14	$94.85
91301		665	641	$16.94
91300		163	154	$0.00
1159F		63	59	$0.00
1160F		15	15	$0.00
91306		17	16	$0.00
3074F		26	26	$0.00
91307		107	107	$0.00