Physician
Sea Mar Community Health Centers
Sea Mar Community Health Centers was paid $573K by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 38% of everything it billed.
33Billing provider infoSEA MAR COMMUNITY HEALTH CENTERS
DES MOINES, WA 98198
DES MOINES, WA 98198
33aNPI1326316142assigned 12/07/2011
33bProvider typeFamily Medicine Physician
28Total paid$573K
24GClaims19,384
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Washington
Rank by total paid#81 of 347
Median peer was paid$53K
This provider vs. median11×
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 BARTOLO, MARY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 707 | $17K | |
| 2019 | 900 | $29K | |
| 2020 | 811 | $15K | |
| 2021 | 1,307 | $53K | |
| 2022 | 2,005 | $77K | |
| 2023 | 4,775 | $198K | |
| 2024incomplete | 8,879 | $184K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 38% | 2,729 | 2,431 | $218K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 2,979 | 2,800 | $119K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.4% | 1,255 | 1,159 | $48K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.2% | 621 | 571 | $41K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.8% | 451 | 445 | $34K |
| 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 | 3.4% | 376 | 363 | $20K |
| 90686 | 3.4% | 1,460 | 1,424 | $19K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 269 | 261 | $17K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.9% | 1,628 | 1,555 | $16K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 1,009 | 980 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 67 | 67 | $5K |
| 90656 | <1% | 553 | 532 | $4K |
38 more codes
| 90670 | <1% | 138 | $4K | |
| 99442 | <1% | 67 | $3K | |
| 99441 | <1% | 108 | $2K | |
| 90677 | <1% | 208 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 281 | $2K |
| 97802 | <1% | 118 | $2K | |
| 90633 | <1% | 201 | $1K | |
| 90697 | <1% | 81 | $1K | |
| 97803 | <1% | 118 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 83 | $968.55 |
| 76801 | <1% | 14 | $851.88 | |
| 91320 | <1% | 13 | $757.34 | |
| 85014 | <1% | 507 | $717.42 | |
| 90710 | <1% | 43 | $600.37 | |
| 83655 | <1% | 75 | $575.72 | |
| 90651 | <1% | 43 | $565.45 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $556.85 |
| 90480 | <1% | 54 | $506.16 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 21 | $414.16 |
| 90681 | <1% | 33 | $258.72 | |
| 90700 | <1% | 16 | $216.59 | |
| 90715 | <1% | 12 | $179.63 | |
| 80061 | Lipid panel | <1% | 14 | $167.83 |
| 90716 | <1% | 12 | $142.27 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $131.30 |
| 81002 | <1% | 53 | $112.63 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 18 | $111.96 |
| 36415 | Collection of venous blood by venipuncture | <1% | 16 | $108.16 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14 | $79.76 |
| 81025 | <1% | 12 | $59.52 | |
| 90698 | <1% | 14 | $2.73 | |
| 3074F | <1% | 528 | $0.01 | |
| 3078F | 0% | 306 | $0.00 | |
| 1159F | 0% | 1,121 | $0.00 | |
| 0502F | 0% | 636 | $0.00 | |
| 1160F | 0% | 844 | $0.00 | |
| 3079F | 0% | 120 | $0.00 | |
| 3044F | 0% | 21 | $0.00 |
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 officialBARTOLO, MARY (EXECUTIVE VICE PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.