Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Privia Medical Group Washington, PLLC

Privia Medical Group Washington, PLLC was paid $18.98M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 74% of everything it billed.

33Billing provider infoPRIVIA MEDICAL GROUP WASHINGTON, PLLC
WALLA WALLA, WA 99362
33aNPI1346441979assigned 05/30/2007
28Total paid$18.98M
24GClaims186,510
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in Washington

Rank by total paid#1 of 90
Median peer was paid$925K
This provider vs. median21×

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.

Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201827,605$2.59M
201928,262$2.78M
202021,339$2.39M
202124,179$2.75M
202225,248$2.95M
202325,777$3.06M
2024incomplete34,100$2.46M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 74% 90,183 84,278 $13.98M
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 9.8% 25,958 24,097 $1.86M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.6% 27,492 26,071 $1.63M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.8% 5,697 5,666 $526K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.7% 6,080 5,789 $516K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.6% 3,279 3,269 $302K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 469 468 $48K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 1,330 1,111 $27K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 461 353 $27K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 211 164 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 266 261 $10K
99383 <1% 70 68 $7K
43 more codes
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 95 $5K
90837 Psychotherapy session, about an hour <1% 38 $4K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 81 $3K
90791 Psychiatric diagnostic evaluation <1% 27 $2K
99205 Prolong outpt/office vis <1% 16 $2K
99215 Doctor's office visit, returning patient (complex) <1% 16 $2K
90670 <1% 2,048 $1K
90680 <1% 1,058 $701.14
90686 <1% 1,433 $479.03
90698 <1% 942 $446.94
90671 <1% 451 $403.75
90697 <1% 332 $317.69
99441 <1% 14 $288.31
99308 Subsequent nursing facility care, per day, straightforward <1% 20 $149.34
90633 <1% 211 $89.34
90688 <1% 241 $65.52
90744 <1% 111 $59.60
90460 Immunization administration through 18 years of age via any route, first or only component <1% 21 $53.72
94760 <1% 107 $52.09
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 14 $51.76
99173 <1% 520 $50.02
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 144 $46.67
90648 <1% 177 $41.72
90656 <1% 55 $40.23
90461 <1% 14 $30.24
90723 <1% 41 $17.88
94761 <1% 47 $11.65
90707 <1% 12 $5.96
3074F 0% 4,108 $0.00
3079F 0% 343 $0.00
3008F 0% 4,723 $0.00
92551 0% 66 $0.00
1036F 0% 41 $0.00
99417 Prolong home eval add 15m 0% 13 $0.00
3075F 0% 12 $0.00
G0008 Administration of influenza virus vaccine 0% 14 $0.00
3078F 0% 3,594 $0.00
1159F 0% 1,689 $0.00
1160F 0% 1,689 $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) 0% 375 $0.00
90685 0% 17 $0.00
3725F 0% 31 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 13 $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 officialMICHELSON, KEVIN (CEO)
Same official

Other billing entities under MICHELSON, KEVIN

Full network →
ProviderLocationPaid
Privia Medical Group Washington, PLLCWalla Walla, WA$2.80M
Walla Walla Clinic, INC.Milton Freewater, OR$8K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.