SUNDOWN M RANCH
NPI: 1285223305
· YAKIMA, WA 98901
· Family Medicine Physician
· NPI assigned 01/13/2021
$105K
Total Medicaid Paid
Provider Details
| Authorized Official | LOES, MARK (DIRECTOR OF OPERATIONS) |
| NPI Enumeration Date | 01/13/2021 |
Related Entities
Other providers sharing the same authorized official: LOES, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
252 |
$23K |
| 2024 |
822 |
$82K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
592 |
592 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
281 |
248 |
$21K |
| 99205 |
Prolong outpt/office vis |
157 |
157 |
$20K |
| 99215 |
Prolong outpt/office vis |
16 |
15 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
26 |
$1K |