Sea Mar Community Health Centers
Sea Mar Community Health Centers was paid $666K by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoSEA MAR COMMUNITY HEALTH CENTERS
SEATTLE, WA 98106
SEATTLE, WA 98106
33aNPI1346398666assigned 01/05/2007
33bProvider typeOptometrist
28Total paid$666K
24GClaims29,451
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Washington
Rank by total paid#25 of 565
Median peer was paid$23K
This provider vs. median29×
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 | 3,221 | $66K | |
| 2019 | 3,033 | $84K | |
| 2020 | 1,944 | $44K | |
| 2021 | 2,097 | $52K | |
| 2022 | 2,851 | $78K | |
| 2023 | 6,378 | $225K | |
| 2024incomplete | 9,927 | $117K |
Box 24 · Service lines
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 | 32% | 6,644 | 6,131 | $210K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 26% | 3,502 | 2,983 | $173K |
| 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 | 17% | 2,640 | 2,505 | $111K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 504 | 498 | $25K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 323 | 283 | $17K |
| 90686 | 2.4% | 1,391 | 1,337 | $16K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 243 | 239 | $14K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.7% | 351 | 344 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 173 | 168 | $10K |
| 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 | 1.4% | 1,656 | 1,358 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 1,060 | 1,008 | $9K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.2% | 794 | 445 | $8K |
45 more codes
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 88 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 313 | $6K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 764 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 86 | $4K |
| 90677 | <1% | 57 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 609 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 78 | $3K |
| 99441 | <1% | 152 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 29 | $2K |
| 80061 | Lipid panel | <1% | 220 | $2K |
| 90656 | <1% | 228 | $2K | |
| 92015 | Determination of refractive state | <1% | 380 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 66 | $2K |
| 97802 | <1% | 29 | $2K | |
| 85014 | <1% | 1,068 | $2K | |
| 90750 | <1% | 12 | $1K | |
| 90670 | <1% | 52 | $956.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | $706.80 |
| 97803 | <1% | 15 | $620.07 | |
| 90480 | <1% | 14 | $400.00 | |
| 99442 | <1% | 13 | $399.57 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 27 | $369.61 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 27 | $301.99 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 40 | $248.28 |
| 90697 | <1% | 12 | $230.05 | |
| 90658 | <1% | 37 | $216.20 | |
| 90633 | <1% | 28 | $211.49 | |
| 90688 | <1% | 75 | $168.12 | |
| 83655 | <1% | 17 | $140.14 | |
| 82274 | <1% | 12 | $130.41 | |
| 90651 | <1% | 24 | $124.10 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14 | $102.03 |
| 81002 | <1% | 56 | $72.60 | |
| 80069 | <1% | 13 | $48.13 | |
| 82043 | <1% | 14 | $36.42 | |
| 3044F | <1% | 81 | $25.00 | |
| 3078F | <1% | 1,289 | $0.01 | |
| 3074F | <1% | 1,373 | $0.01 | |
| 1159F | 0% | 1,338 | $0.00 | |
| 0502F | 0% | 230 | $0.00 | |
| 1160F | 0% | 982 | $0.00 | |
| 3077F | 0% | 13 | $0.00 | |
| 1126F | 0% | 46 | $0.00 | |
| 3075F | 0% | 28 | $0.00 | |
| 3079F | 0% | 108 | $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 (CREDENTIALING SUPERVISOR)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.