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

Kennewick Public Hospital District

Kennewick Public Hospital District was paid $2.32M by Medicaid between Jan 2018 and Aug 2018, across 118 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 28% of everything it billed.

33Billing provider infoKENNEWICK PUBLIC HOSPITAL DISTRICT
KENNEWICK, WA 99336
33aNPI1235257262assigned 03/27/2007
28Total paid$2.32M
24GClaims54,978
24DCodes billed118
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Washington

Rank by total paid#10 of 31
Median peer was paid$338K
This provider vs. median6.8×

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.

Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
201854,978$2.32M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 28% 5,673 4,644 $645K
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% 12,923 10,421 $509K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 10,199 9,069 $344K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.3% 1,591 1,586 $100K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.3% 1,738 1,677 $99K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 3.3% 785 735 $78K
96361 Intravenous infusion, hydration; each additional hour 3.0% 202 196 $70K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 1.7% 511 490 $40K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.4% 533 529 $33K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.4% 293 287 $33K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.2% 541 510 $29K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.2% 1,812 461 $29K
106 more codes
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 1.2% 14 $27K
99460 1.1% 322 $25K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1.0% 82 $24K
59025 Fetal non-stress test 1.0% 157 $24K
99238 Hospital discharge day management, 30 minutes or less <1% 653 $19K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 74 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 960 $17K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 325 $12K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 109 $11K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 157 $10K
90670 <1% 1,424 $9K
99204 Doctor's office visit, new patient (more involved) <1% 161 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 209 $7K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 98 $7K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 179 $6K
95811 <1% 18 $5K
90680 <1% 785 $5K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 135 $5K
99215 Doctor's office visit, returning patient (complex) <1% 126 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 78 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 44 $5K
80053 Comprehensive metabolic panel <1% 594 $5K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 107 $5K
90648 <1% 686 $4K
90633 <1% 606 $4K
76830 Ultrasound, transvaginal <1% 77 $4K
76801 <1% 79 $3K
90723 <1% 402 $3K
90698 <1% 393 $3K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 13 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 26 $2K
71046 Radiologic examination, chest; 2 views <1% 199 $2K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 17 $1K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 47 $1K
90685 <1% 191 $1K
99462 <1% 31 $1K
11750 <1% 16 $1K
11721 <1% 221 $986.35
90744 <1% 145 $868.44
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 25 $846.40
90688 <1% 127 $828.44
90710 <1% 125 $823.60
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 766 $753.96
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 63 $739.20
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 243 $721.48
99381 <1% 12 $696.34
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 17 $691.36
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 192 $689.83
90700 <1% 107 $647.38
80048 Basic metabolic panel (calcium, ionized) <1% 77 $639.71
36415 Collection of venous blood by venipuncture <1% 728 $579.89
90707 <1% 96 $579.24
90686 <1% 93 $557.76
77072 <1% 12 $552.75
77067 Screening mammography, bilateral, including computer-aided detection <1% 12 $541.52
99285 Emergency room visit (most serious) <1% 13 $536.67
99221 <1% 15 $486.38
90716 <1% 73 $440.54
90734 <1% 29 $401.47
84484 <1% 51 $378.39
90651 <1% 55 $323.46
11056 <1% 121 $297.71
74018 <1% 12 $185.48
81025 <1% 219 $168.98
71045 Radiologic examination, chest; single view <1% 80 $163.05
83735 <1% 100 $145.87
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 12 $140.98
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 12 $133.95
85610 <1% 133 $75.94
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 512 $59.39
81001 <1% 310 $45.43
86900 <1% 27 $43.13
85730 <1% 108 $36.30
87086 Culture, bacterial; quantitative colony count, urine <1% 92 $34.94
87430 <1% 82 $34.04
87081 <1% 79 $31.20
86901 <1% 27 $22.70
86140 <1% 16 $22.05
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 13 $20.62
81003 <1% 212 $20.36
83690 <1% 199 $19.82
80306 <1% 50 $19.74
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 173 $15.78
82150 <1% 139 $14.93
81002 <1% 43 $7.71
83036 Hemoglobin; glycosylated (A1C) <1% 12 $7.38
82962 <1% 14 $4.48
J1170 Injection, hydromorphone, up to 4 mg 0% 136 $0.00
J2704 Injection, propofol, 10 mg 0% 141 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 14 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 110 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 54 $0.00
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 0% 272 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 124 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 59 $0.00
96375 Therapeutic injection; each additional sequential IV push 0% 220 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 0% 174 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 0% 223 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 0% 15 $0.00
77063 Screening digital breast tomosynthesis, bilateral 0% 12 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 124 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 0% 276 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 25 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 28 $0.00
J7030 Infusion, normal saline solution , 1000 cc 0% 390 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 0% 92 $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 officialPAULE, GERALD (CFO)
Parent organizationKENNEWICK PUBLIC HOSPITAL DISTRICT