Medicaid Provider Spending

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

PRIVIA MEDICAL GROUP WASHINGTON, PLLC

NPI: 1346441979 · WALLA WALLA, WA 99362 · Rural Health Clinic/Center · NPI assigned 05/30/2007

$18.98M
Total Medicaid Paid
186,510
Total Claims
176,064
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMICHELSON, KEVIN (CEO)
NPI Enumeration Date05/30/2007

Related Entities

Other providers sharing the same authorized official: MICHELSON, KEVIN

ProviderCityStateTotal Paid
PRIVIA MEDICAL GROUP WASHINGTON, PLLC WALLA WALLA WA $2.80M
WALLA WALLA CLINIC, INC. MILTON FREEWATER OR $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27,605 $2.59M
2019 28,262 $2.78M
2020 21,339 $2.39M
2021 24,179 $2.75M
2022 25,248 $2.95M
2023 25,777 $3.06M
2024 34,100 $2.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 90,183 84,278 $13.98M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,958 24,097 $1.86M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,492 26,071 $1.63M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,697 5,666 $526K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,080 5,789 $516K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,279 3,269 $302K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 469 468 $48K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,330 1,111 $27K
90832 Psychotherapy, 30 minutes with patient 461 353 $27K
90834 Psychotherapy, 45 minutes with patient 211 164 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 266 261 $10K
99383 70 68 $7K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 95 83 $5K
90837 Psychotherapy, 53 minutes with patient 38 28 $4K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 81 73 $3K
90791 Psychiatric diagnostic evaluation 27 25 $2K
99205 Prolong outpt/office vis 16 16 $2K
99215 Prolong outpt/office vis 16 16 $2K
90670 2,048 2,031 $1K
90680 1,058 1,050 $701.14
90686 1,433 1,427 $479.03
90698 942 936 $446.94
90671 451 451 $403.75
90697 332 331 $317.69
99441 14 14 $288.31
99308 Subsequent nursing facility care, per day, straightforward 20 15 $149.34
90633 211 210 $89.34
90688 241 239 $65.52
90744 111 109 $59.60
90460 Immunization administration through 18 years of age via any route, first or only component 21 21 $53.72
94760 107 102 $52.09
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 14 14 $51.76
99173 520 519 $50.02
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 144 144 $46.67
90648 177 177 $41.72
90656 55 55 $40.23
90461 14 14 $30.24
90723 41 41 $17.88
94761 47 46 $11.65
90707 12 12 $5.96
3074F 4,108 4,004 $0.00
3079F 343 327 $0.00
3008F 4,723 4,598 $0.00
92551 66 66 $0.00
1036F 41 41 $0.00
99417 Prolong home eval add 15m 13 13 $0.00
3075F 12 12 $0.00
G0008 Administration of influenza virus vaccine 14 14 $0.00
3078F 3,594 3,518 $0.00
1159F 1,689 1,630 $0.00
1160F 1,689 1,630 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 375 357 $0.00
90685 17 17 $0.00
3725F 31 30 $0.00
90472 Immunization administration, each additional vaccine (list separately) 13 13 $0.00