WESTERN WASHINGTON MEDICAL GROUP, INC PS
NPI: 1285978882
· MARYSVILLE, WA 98270
· Family Medicine Physician
· NPI assigned 11/20/2012
$148K
Total Medicaid Paid
Provider Details
| Authorized Official | HOLSTEIN, KIM (DIRECTOR PFS) |
| Parent Organization | WESTERN WASHINGTON MEDICAL GROUP |
| NPI Enumeration Date | 11/20/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
819 |
$40K |
| 2019 |
682 |
$34K |
| 2020 |
329 |
$17K |
| 2021 |
424 |
$20K |
| 2022 |
297 |
$17K |
| 2023 |
305 |
$16K |
| 2024 |
175 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,741 |
1,600 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,079 |
953 |
$52K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$948.98 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
59 |
57 |
$751.94 |
| 90686 |
|
28 |
28 |
$363.67 |
| 90688 |
|
14 |
14 |
$273.28 |
| 1159F |
|
49 |
46 |
$0.00 |
| 99072 |
|
15 |
14 |
$0.00 |
| 1160F |
|
34 |
32 |
$0.00 |