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

Tri-Cities Community Health

Tri-Cities Community Health was paid $13.26M by Medicaid between Jan 2018 and Dec 2024, across 189 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.

33Billing provider infoTRI-CITIES COMMUNITY HEALTH
PASCO, WA 99301
33aNPI1225145105assigned 08/24/2006
28Total paid$13.26M
24GClaims904,115
24DCodes billed189
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Community Health Clinic/Center providers in Washington

Rank by total paid#1 of 17
Median peer was paid$20K
This provider vs. median674×

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.

Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
201858,572$1.55M
201973,265$2.13M
202064,392$1.90M
2021179,810$2.40M
2022212,905$2.17M
2023208,133$2.01M
2024incomplete107,038$1.09M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 91,665 87,037 $3.23M
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 22% 58,617 56,005 $2.88M
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 12% 10,981 8,574 $1.53M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.8% 10,687 10,637 $636K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.0% 9,392 9,197 $534K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 3.7% 10,069 7,747 $488K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.4% 8,535 8,468 $450K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.0% 4,960 4,917 $266K
G0467 Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 1.7% 16,956 14,617 $230K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1.5% 2,930 2,795 $204K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 1.5% 5,737 4,625 $202K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.4% 3,259 3,141 $190K
177 more codes
H0004 Behavioral health counseling and therapy, per 15 minutes 1.4% 4,033 $182K
99204 Doctor's office visit, new patient (more involved) <1% 1,474 $121K
99203 Doctor's office visit, new patient (routine) <1% 1,848 $104K
90832 Psychotherapy session, about 30 minutes <1% 3,323 $95K
99381 <1% 1,825 $89K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 9,137 $84K
90686 <1% 7,521 $75K
92340 Fitting of spectacles, except for aphakia; monofocal <1% 4,048 $69K
96127 <1% 30,843 $67K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 3,260 $64K
90674 <1% 2,937 $63K
90670 <1% 7,080 $62K
92551 <1% 14,626 $60K
87428 <1% 1,544 $60K
83037 <1% 7,936 $49K
99205 Prolong outpt/office vis <1% 309 $49K
90688 <1% 5,909 $48K
92015 Determination of refractive state <1% 5,363 $48K
99442 <1% 1,203 $42K
90791 Psychiatric diagnostic evaluation <1% 853 $42K
H2015 Community support for mental illness or disability, per 15 minutes <1% 1,824 $41K
90680 <1% 4,781 $41K
90633 <1% 4,706 $41K
90715 <1% 2,232 $36K
81003 <1% 23,425 $35K
99215 Doctor's office visit, returning patient (complex) <1% 316 $34K
99383 <1% 431 $33K
96153 <1% 1,032 $29K
90651 <1% 3,474 $28K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,913 $27K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 275 $25K
99173 <1% 15,710 $25K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 581 $24K
81025 <1% 3,518 $24K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,800 $19K
99443 <1% 366 $19K
90750 <1% 226 $18K
0012A <1% 458 $18K
99384 <1% 229 $18K
90648 <1% 2,721 $17K
90697 <1% 1,520 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,178 $16K
0011A <1% 419 $16K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 179 $13K
95251 <1% 838 $13K
59426 <1% 17 $13K
96165 <1% 535 $11K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit <1% 694 $11K
97802 <1% 471 $11K
99441 <1% 571 $11K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 2,390 $11K
0071A <1% 257 $10K
96112 <1% 177 $10K
90677 <1% 1,083 $10K
90710 <1% 870 $10K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 646 $9K
90619 <1% 872 $9K
0072A <1% 217 $9K
90734 <1% 1,337 $9K
90698 <1% 1,161 $9K
90716 <1% 854 $8K
90696 <1% 704 $7K
0064A <1% 183 $7K
90723 <1% 1,041 $7K
90472 Immunization administration, each additional vaccine (list separately) <1% 838 $7K
90656 <1% 578 $6K
59025 Fetal non-stress test <1% 144 $6K
91320 <1% 67 $6K
90707 <1% 547 $6K
96164 <1% 532 $6K
96160 <1% 3,880 $6K
0001A <1% 129 $5K
11056 <1% 297 $5K
G0466 Community health center visit, new patient <1% 179 $4K
0002A <1% 100 $4K
87210 <1% 684 $4K
0031A <1% 98 $3K
90685 <1% 433 $3K
99382 <1% 41 $3K
90700 <1% 348 $3K
11721 <1% 584 $3K
90678 <1% 13 $3K
90792 Psychiatric diagnostic evaluation with medical services <1% 42 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 53 $3K
59430 <1% 13 $3K
90480 <1% 87 $2K
99385 <1% 25 $2K
83986 <1% 705 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 356 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 389 $2K
92310 <1% 49 $2K
90620 <1% 297 $2K
90756 <1% 73 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 25 $2K
76857 <1% 68 $2K
92341 <1% 87 $2K
96161 <1% 1,225 $2K
H0034 Medication training and support, per 15 minutes <1% 109 $2K
H0001 Alcohol and/or drug assessment <1% 12 $1K
92083 <1% 44 $1K
92250 <1% 66 $1K
92133 <1% 93 $1K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 438 $1K
0052A <1% 27 $1K
0051A <1% 28 $1K
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only <1% 296 $1K
90744 <1% 153 $943.40
99201 <1% 40 $774.38
97803 <1% 28 $774.13
90672 <1% 96 $756.53
0054A <1% 16 $640.00
0134A <1% 15 $600.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 13 $543.40
0124A <1% 12 $440.00
T1002 Rn services, up to 15 minutes <1% 415 $410.14
86580 <1% 82 $331.24
90658 <1% 111 $298.76
90621 <1% 28 $269.67
S9482 Family stabilization services, per 15 minutes <1% 345 $251.14
V2020 Frames, purchases <1% 25 $200.00
90702 <1% 12 $188.72
29540 <1% 12 $166.66
90713 <1% 12 $160.00
82962 <1% 39 $116.38
D1206 Topical application of fluoride varnish <1% 12 $110.00
96381 <1% 12 $104.27
99606 <1% 19 $100.00
90682 <1% 110 $57.83
99605 <1% 12 $40.00
T1017 Case management, billed per 15 minutes <1% 137 $34.92
92228 <1% 35 $32.27
90380 <1% 12 $30.31
1160F <1% 71,338 $20.00
3725F <1% 27,971 $14.15
3077F <1% 1,710 $14.14
1126F 0% 7,654 $0.00
3074F 0% 54,933 $0.00
1034F 0% 2,526 $0.00
1036F 0% 50,409 $0.00
3080F 0% 189 $0.00
3008F 0% 76,497 $0.00
G0008 Administration of influenza virus vaccine 0% 1,148 $0.00
3075F 0% 3,241 $0.00
3079F 0% 8,952 $0.00
0500F 0% 616 $0.00
1125F 0% 2,439 $0.00
V5008 Hearing screening 0% 15 $0.00
1035F 0% 812 $0.00
S9436 Childbirth preparation/lamaze classes, non-physician provider, per session 0% 13 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 13 $0.00
G0009 Administration of pneumococcal vaccine 0% 120 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 180 $0.00
99607 0% 46 $0.00
2023F 0% 188 $0.00
99000 0% 159 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 0% 161 $0.00
0503F 0% 63 $0.00
90732 0% 13 $0.00
91307 0% 54 $0.00
D1330 0% 16 $0.00
3078F 0% 52,045 $0.00
1159F 0% 62,099 $0.00
86328 0% 2,419 $0.00
0502F 0% 16,479 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 2,475 $0.00
90662 0% 645 $0.00
2028F 0% 719 $0.00
2022F 0% 450 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 1,020 $0.00
3288F 0% 16 $0.00
G8404 Lower extremity neurological exam performed and documented 0% 205 $0.00
5010F 0% 737 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 211 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 0% 53 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 0% 44 $0.00
2025F 0% 13 $0.00
92134 0% 15 $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 officialNEEDHAM, KRISTY (CEO)
Same official

Other billing entities under NEEDHAM, KRISTY

Full network →
ProviderLocationPaid
Tri-Cities Community HealthPasco, WA$16.16M
Tri-Cities Community HealthPasco, WA$4.65M
Tri-Cities Community HealthKennewick, WA$85K
Tri-Cities Community HealthPasco, WA$17K
Tri-Cities Community HealthRichland, WA$1K
Tri-Cities Community HealthPasco, WA$0.00

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