Medicaid Provider Spending

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

FAMILY MEDICAL CARE CLINIC LLC

NPI: 1225536923 · OLYMPIA, WA 98506 · Primary Care Clinic/Center · NPI assigned 01/28/2018

$82K
Total Medicaid Paid
1,377
Total Claims
1,274
Beneficiaries
7
Codes Billed
2018-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialROUSE, CASSIE (MANAGER)
NPI Enumeration Date01/28/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 223 $14K
2019 313 $19K
2020 242 $14K
2021 231 $13K
2022 101 $7K
2023 140 $8K
2024 127 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 912 837 $60K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 387 364 $21K
99354 20 18 $1K
90756 17 16 $342.71
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 13 $130.26
96127 12 12 $65.60
99415 Prolong outpt/office vis 15 14 $0.00