Orcas Family Health Center

Orcas Family Health Center was paid $359K by Medicaid between Jan 2018 and May 2021, across 10 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 72% of everything it billed.

33Billing provider infoORCAS FAMILY HEALTH CENTER
EASTSOUND, WA 98245

33aNPI1245214683assigned 11/30/2005

33bProvider typeFamily Medicine Physician

28Total paid$359K

24GClaims6,634

24DCodes billed10

24AFirst – last monthJan 2018 – May 2021

Compared with peers

Next to other Family Medicine Physician providers in Washington

Rank by total paid#97 of 347

Median peer was paid$53K

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

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

Year	Claims	Paid
2018	2,785	$147K
2019	2,375	$131K
2020	1,234	$69K
2021	240	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	72%	4,135	3,375	$259K
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%	2,005	1,779	$87K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.9%	255	237	$7K
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	1.3%	93	76	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	60	59	$409.71
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	28	28	$362.88
90756		<1%	17	17	$319.06
99441		<1%	13	12	$315.25
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	<1%	15	13	$44.40
36415	Collection of venous blood by venipuncture	<1%	13	12	$19.76

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 officialSHINSTROM, DAVID (MEDICAL DIRECTOR)