Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHC MEDICAL CENTER TOPPENISH

NPI: 1316422892 · TOPPENISH, WA 98948 · Rural Health Clinic/Center · NPI assigned 10/01/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MATHIESEN, MATHEW controls 13+ related entities in our dataset. Read more

$381K
Total Medicaid Paid
5,914
Total Claims
3,676
Beneficiaries
11
Codes Billed
2018-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMATHIESEN, MATHEW (CFO)
NPI Enumeration Date10/01/2018

Related Entities

Other providers sharing the same authorized official: MATHIESEN, MATHEW

ProviderCityStateTotal Paid
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION SUNNYSIDE WA $55.09M
SHC MEDICAL CENTER TOPPENISH TOPPENISH WA $15.10M
SHC MEDICAL CENTER - YAKIMA YAKIMA WA $6.93M
SHC MEDICAL CENTER TOPPENISH UNION GAP WA $4.99M
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION PROSSER WA $2.35M
SHC MEDICAL CENTER TOPPENISH ZILLAH WA $663K
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION UNION GAP WA $316K
SUNNYSIDE COMMUNITY HOSPITAL YAKIMA WA $51K
SHC MEDICAL CENTER - YAKIMA YAKIMA WA $11K
SUNNYSIDE COMMUNITY HOSPITAL SUNNYSIDE WA $4K
SUNNYSIDE COMMUNITY HOSPITAL SUNNYSIDE WA $860.66
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION YAKIMA WA $839.86
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION UNION GAP WA $696.97

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $576.54
2019 2,167 $23K
2020 1,276 $42K
2021 802 $53K
2022 329 $22K
2023 636 $45K
2024 691 $195K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 2,084 1,950 $284K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 480 456 $35K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 246 244 $14K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,177 219 $11K
90792 Psychiatric diagnostic evaluation with medical services 256 233 $10K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,220 221 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 121 112 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 175 157 $6K
99385 44 44 $4K
99222 Initial hospital care, per day, moderate complexity 13 13 $576.54
90853 Group psychotherapy (other than of a multiple-family group) 98 27 $181.64