Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WA › Bellevue › NPI 1255500542
Physician

Proliance Surgeons, INC., P.S.

Proliance Surgeons, INC., P.S. was paid $26K by Medicaid between Jan 2019 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.

33Billing provider infoPROLIANCE SURGEONS, INC., P.S.
BELLEVUE, WA 98004
33aNPI1255500542assigned 02/21/2008
33bProvider typeOtolaryngology Physician
28Total paid$26K
24GClaims487
24DCodes billed5
24AFirst – last monthJan 2019 – Oct 2024
Compared with peers

Next to other Otolaryngology Physician providers in Washington

Rank by total paid#12 of 21
Median peer was paid$29K
This provider vs. median0.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official PLEASANT, CORI controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
201914$86.98
202014$872.82
2021260$2K
202268$6K
202353$7K
2024incomplete78$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 79% 183 180 $21K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16% 27 26 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.3% 16 15 $1K
92567 <1% 14 12 $86.98
99072 <1% 247 235 $30.00

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 officialPLEASANT, CORI (MGR PROVIDER RELATIONS/ENROLLMENT)
Same official

Other billing entities under PLEASANT, CORI

Full network →

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