Neighborcare Health
Neighborcare Health was paid $2.17M by Medicaid between Jan 2018 and Nov 2024, across 61 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
SEATTLE, WA 98133
Next to other Federally Qualified Health Center (FQHC) providers in Washington
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,807 | $190K | |
| 2019 | 8,337 | $273K | |
| 2020 | 10,367 | $239K | |
| 2021 | 13,848 | $342K | |
| 2022 | 15,306 | $479K | |
| 2023 | 12,122 | $407K | |
| 2024incomplete | 5,913 | $244K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 19,457 | 18,213 | $743K |
| 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 | 29% | 12,957 | 11,718 | $637K |
| 99442 | 8.3% | 4,172 | 3,940 | $180K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.7% | 3,136 | 2,325 | $124K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.8% | 3,495 | 3,346 | $82K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 3.0% | 4,780 | 3,491 | $66K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 791 | 731 | $54K |
| 90686 | 2.2% | 3,713 | 3,677 | $47K | |
| 99443 | 2.0% | 697 | 663 | $43K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 537 | 528 | $39K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 513 | 503 | $31K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 1.2% | 449 | 385 | $27K |
49 more codes
| 99441 | <1% | 871 | $22K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 968 | $15K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,093 | $12K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 179 | $11K |
| 80305 | <1% | 438 | $4K | |
| 0012A | <1% | 155 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 64 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 83 | $4K |
| 90688 | <1% | 254 | $3K | |
| 0011A | <1% | 193 | $3K | |
| 90670 | <1% | 317 | $3K | |
| 0031A | <1% | 91 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,014 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 252 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 16 | $1K |
| 90656 | <1% | 95 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $1K |
| 0004A | <1% | 34 | $990.00 | |
| 0134A | <1% | 24 | $940.00 | |
| 90647 | <1% | 104 | $928.69 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 15 | $752.70 |
| 90680 | <1% | 81 | $712.10 | |
| 90633 | <1% | 66 | $564.09 | |
| 0001A | <1% | 35 | $560.00 | |
| 83655 | <1% | 38 | $365.97 | |
| 85018 | <1% | 230 | $341.99 | |
| 90723 | <1% | 29 | $252.75 | |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | <1% | 13 | $205.53 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 28 | $191.26 |
| 90715 | <1% | 12 | $172.03 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 41 | $163.59 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 15 | $160.88 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $158.86 |
| 90734 | <1% | 26 | $137.25 | |
| 80053 | Comprehensive metabolic panel | <1% | 13 | $122.98 |
| 90651 | <1% | 26 | $110.67 | |
| 3074F | 0% | 3,024 | $0.00 | |
| 3008F | 0% | 4,523 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 73 | $0.00 |
| 91303 | 0% | 92 | $0.00 | |
| 91301 | 0% | 359 | $0.00 | |
| 3079F | 0% | 35 | $0.00 | |
| 90694 | 0% | 14 | $0.00 | |
| 91307 | 0% | 14 | $0.00 | |
| 3078F | 0% | 2,751 | $0.00 | |
| 91300 | 0% | 128 | $0.00 | |
| 91312 | 0% | 12 | $0.00 | |
| 91313 | 0% | 26 | $0.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Neighborcare Health | Seattle, WA | $18.89M |
| Neighborcare Health | Seattle, WA | $16.15M |
| Neighborcare Health | Seattle, WA | $10.26M |
| Neighborcare Health | Seattle, WA | $8.78M |
| Neighborcare Health | Seattle, WA | $5.21M |
| Neighborcare Health | Seattle, WA | $3.40M |
| Neighborcare Health | Seattle, WA | $3.32M |
| Neighborcare Health | Seattle, WA | $2.90M |
| Neighborcare Health | Seattle, WA | $1.83M |
| Neighborcare Health | Seattle, WA | $1.48M |
| Neighborcare Health | Seattle, WA | $1.30M |
| Neighborcare Health | Seattle, WA | $883K |
| Neighborcare Health | Seattle, WA | $731K |
| Neighborcare Health | Seattle, WA | $219K |
| Neighborcare Health | Vashon, WA | $28K |
| Neighborcare Health | Seattle, WA | $28K |
| Neighborcare Health | Seattle, WA | $14K |
| Neighborcare Health | Seattle, WA | $7K |
| Neighborcare Health | Seattle, WA | $5K |
| Neighborcare Health | Seattle, WA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.