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

Sea Mar Community Health Centers

Sea Mar Community Health Centers was paid $14.85M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 84% of everything it billed.

33Billing provider infoSEA MAR COMMUNITY HEALTH CENTERS
EVERETT, WA 98203
33aNPI1285783480assigned 01/09/2007
33bProvider typeMental Health Counselor
28Total paid$14.85M
24GClaims58,385
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Mental Health Counselor providers in Washington

Rank by total paid#4 of 368
Median peer was paid$48K
This provider vs. median312×

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 RIOJAS, ROGELIO controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
201819,683$8.09M
201913,660$4.50M
20203,991$279K
20214,500$384K
20223,935$377K
20238,094$787K
2024incomplete4,522$431K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 84% 32,868 14,128 $12.45M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 11% 16,441 9,599 $1.59M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 2.5% 2,701 1,641 $376K
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% 1,119 1,043 $121K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 1,485 1,435 $82K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 1,075 800 $71K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 257 237 $38K
99443 <1% 534 508 $29K
H0046 Mental health services, not otherwise specified <1% 1,009 1,004 $26K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 154 151 $22K
90853 Group psychotherapy (other than of a multiple-family group) <1% 113 71 $13K
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes <1% 414 284 $12K
3 more codes
90792 Psychiatric diagnostic evaluation with medical services <1% 59 $11K
99442 <1% 91 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 65 $3K

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 officialRIOJAS, ROGELIO (CEO)
Same official

Other billing entities under RIOJAS, ROGELIO

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