Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › BELLINGHAM › PEACEHEALTH

PEACEHEALTH

NPI: 1356309553 · BELLINGHAM, WA 98225 · Vascular Surgery Physician · NPI assigned 05/04/2006

$26.14M
Total Medicaid Paid
503,573
Total Claims
441,322
Beneficiaries
143
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMONTALVO, DARRIN (EVP CHIEF FINANCIAL /GROWTH OFFICER)
NPI Enumeration Date05/04/2006

Related Entities

Other providers sharing the same authorized official: MONTALVO, DARRIN

ProviderCityStateTotal Paid
PEACEHEALTH SEDRO WOOLLEY WA $41.28M
PEACEHEALTH VANCOUVER WA $13.58M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 80,215 $3.69M
2019 77,501 $3.79M
2020 69,464 $3.14M
2021 74,984 $3.49M
2022 70,750 $4.27M
2023 65,307 $4.04M
2024 65,352 $3.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 160,242 145,181 $11.55M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 108,172 101,534 $6.21M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11,480 11,435 $1.11M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 10,433 10,304 $934K
97530 Therapeutic activities, direct patient contact, each 15 minutes 7,955 4,056 $643K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,529 6,500 $628K
99215 Prolong outpt/office vis 5,526 5,134 $550K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,904 6,619 $520K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 13,486 10,965 $364K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,200 3,104 $321K
99244 Office or other outpatient consultation, moderate to high complexity 2,322 2,280 $311K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,788 1,315 $298K
90686 13,075 12,973 $206K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3,567 1,645 $151K
99232 Subsequent hospital care, per day, moderate complexity 4,693 1,646 $135K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,392 2,144 $122K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 3,330 3,215 $121K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,371 1,256 $118K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 43,681 30,702 $109K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 5,863 5,785 $101K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 2,068 1,770 $89K
90670 5,812 5,763 $84K
99233 Prolong inpt eval add15 m 1,437 670 $80K
59025 Fetal non-stress test 1,171 812 $66K
99243 728 715 $63K
92526 1,234 884 $60K
99238 Hospital discharge day management, 30 minutes or less 1,222 1,177 $60K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 544 540 $57K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 399 365 $56K
94375 2,424 2,249 $56K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 635 631 $55K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,844 1,476 $47K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,849 2,820 $43K
90698 3,493 3,467 $41K
99309 Subsequent nursing facility care, per day, low to moderate complexity 4,221 2,299 $41K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,907 820 $39K
90688 2,199 2,186 $34K
95117 4,562 2,501 $33K
90680 2,480 2,456 $33K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,154 3,112 $32K
99460 373 367 $30K
97803 518 332 $29K
95886 558 515 $27K
99205 Prolong outpt/office vis 210 201 $26K
94729 1,429 1,001 $24K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,773 536 $23K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 393 372 $21K
99239 Hospital discharge day management, more than 30 minutes 279 269 $21K
95819 204 196 $19K
90792 Psychiatric diagnostic evaluation with medical services 267 213 $17K
64615 194 190 $16K
90697 873 855 $15K
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) 7,309 6,922 $14K
90633 1,107 1,098 $14K
99310 Prolong nursin fac eval 15m 1,473 771 $14K
99242 231 217 $14K
90677 955 942 $13K
95806 293 217 $13K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 364 359 $13K
99462 371 285 $12K
83036 Hemoglobin; glycosylated (A1C) 1,564 1,541 $11K
17000 414 338 $10K
0072A 239 238 $10K
17110 137 120 $8K
80305 805 782 $8K
0004A 203 203 $8K
94060 426 331 $8K
99283 Emergency department visit for the evaluation and management, moderate severity 140 136 $8K
95115 1,307 721 $7K
90744 672 666 $7K
58300 14 13 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 155 151 $7K
90656 906 905 $6K
0071A 152 151 $6K
92552 228 228 $5K
81003 2,154 2,124 $5K
99306 Prolong nursin fac eval 15m 147 88 $4K
99152 502 468 $4K
93298 103 100 $4K
99385 27 27 $4K
90480 138 138 $4K
99282 Emergency department visit for the evaluation and management, low to moderate severity 112 105 $3K
99173 1,768 1,764 $3K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 46 46 $3K
90472 Immunization administration, each additional vaccine (list separately) 119 119 $3K
81025 373 362 $3K
90710 173 173 $3K
99284 Emergency department visit for the evaluation and management, high severity 28 26 $3K
96910 47 12 $3K
17003 362 292 $2K
90651 138 137 $2K
77014 113 14 $2K
11100 36 30 $2K
93294 356 335 $2K
43248 33 26 $2K
0001A 46 45 $2K
99222 Initial hospital care, per day, moderate complexity 24 24 $2K
90685 196 194 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 261 257 $2K
94726 102 69 $2K
97597 121 57 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 107 105 $1K
93296 256 255 $1K
99442 62 46 $1K
0002A 29 29 $1K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 56 51 $1K
97802 12 12 $1K
95251 61 57 $1K
20610 49 37 $1K
99443 19 15 $1K
93295 77 74 $938.16
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 89 79 $904.61
85018 362 360 $888.52
11102 13 13 $850.82
81002 239 233 $763.34
99177 256 255 $761.04
95811 14 12 $753.00
95909 15 13 $723.50
90853 Group psychotherapy (other than of a multiple-family group) 33 27 $570.90
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 12 12 $399.82
90674 15 14 $353.50
90707 25 25 $346.77
93016 44 36 $324.16
90696 27 27 $321.33
95885 13 12 $283.51
95024 17 12 $271.04
90785 38 16 $265.69
93018 40 38 $251.37
90734 25 24 $205.59
90716 12 12 $204.97
90460 Immunization administration through 18 years of age via any route, first or only component 14 14 $199.41
88720 39 36 $189.39
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 13 12 $187.04
93321 47 39 $147.00
90672 13 13 $140.79
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 54 51 $131.37
93325 63 55 $91.91
76937 18 13 $50.11
90381 13 13 $33.00
J1885 Injection, ketorolac tromethamine, per 15 mg 13 12 $22.35
93793 130 109 $6.64
0502F 5,588 5,052 $0.00
0503F 98 82 $0.00