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

Peacehealth

Peacehealth was paid $26.14M by Medicaid between Jan 2018 and Dec 2024, across 143 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.

33Billing provider infoPEACEHEALTH
BELLINGHAM, WA 98225
33aNPI1356309553assigned 05/04/2006
28Total paid$26.14M
24GClaims503,573
24DCodes billed143
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Vascular Surgery Physician providers in Washington

Rank by total paid#1 of 6
Median peer was paid$5K
This provider vs. median5,085×

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$200K$400K$600K2018201920202021202220232024
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
201880,215$3.69M
201977,501$3.79M
202069,464$3.14M
202174,984$3.49M
202270,750$4.27M
202365,307$4.04M
2024incomplete65,352$3.73M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 44% 160,242 145,181 $11.55M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 108,172 101,534 $6.21M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.2% 11,480 11,435 $1.11M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.6% 10,433 10,304 $934K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2.5% 7,955 4,056 $643K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.4% 6,529 6,500 $628K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.1% 5,526 5,134 $550K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.0% 6,904 6,619 $520K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.4% 13,486 10,965 $364K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.2% 3,200 3,104 $321K
99244 Office or other outpatient consultation, moderate to high complexity 1.2% 2,322 2,280 $311K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.1% 2,788 1,315 $298K
131 more codes
90686 <1% 13,075 $206K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 3,567 $151K
99232 Hospital visit by a doctor, follow-up day <1% 4,693 $135K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 2,392 $122K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 3,330 $121K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 1,371 $118K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 43,681 $109K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 5,863 $101K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 2,068 $89K
90670 <1% 5,812 $84K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 1,437 $80K
59025 Fetal non-stress test <1% 1,171 $66K
99243 <1% 728 $63K
92526 <1% 1,234 $60K
99238 Hospital discharge day management, 30 minutes or less <1% 1,222 $60K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 544 $57K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 399 $56K
94375 <1% 2,424 $56K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 635 $55K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,844 $47K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,849 $43K
90698 <1% 3,493 $41K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 4,221 $41K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,907 $39K
90688 <1% 2,199 $34K
95117 <1% 4,562 $33K
90680 <1% 2,480 $33K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,154 $32K
99460 <1% 373 $30K
97803 <1% 518 $29K
95886 <1% 558 $27K
99205 Prolong outpt/office vis <1% 210 $26K
94729 <1% 1,429 $24K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 1,773 $23K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 393 $21K
99239 Hospital discharge day management, more than 30 minutes <1% 279 $21K
95819 <1% 204 $19K
90792 Psychiatric diagnostic evaluation with medical services <1% 267 $17K
64615 <1% 194 $16K
90697 <1% 873 $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) <1% 7,309 $14K
90633 <1% 1,107 $14K
99310 Prolong nursin fac eval 15m <1% 1,473 $14K
99242 <1% 231 $14K
90677 <1% 955 $13K
95806 <1% 293 $13K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 364 $13K
99462 <1% 371 $12K
83036 Hemoglobin; glycosylated (A1C) <1% 1,564 $11K
17000 <1% 414 $10K
0072A <1% 239 $10K
17110 <1% 137 $8K
80305 <1% 805 $8K
0004A <1% 203 $8K
94060 <1% 426 $8K
99283 Emergency room visit (moderate) <1% 140 $8K
95115 <1% 1,307 $7K
90744 <1% 672 $7K
58300 <1% 14 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 155 $7K
90656 <1% 906 $6K
0071A <1% 152 $6K
92552 <1% 228 $5K
81003 <1% 2,154 $5K
99306 Prolong nursin fac eval 15m <1% 147 $4K
99152 <1% 502 $4K
93298 <1% 103 $4K
99385 <1% 27 $4K
90480 <1% 138 $4K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 112 $3K
99173 <1% 1,768 $3K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 46 $3K
90472 Immunization administration, each additional vaccine (list separately) <1% 119 $3K
81025 <1% 373 $3K
90710 <1% 173 $3K
99284 Emergency room visit (serious) <1% 28 $3K
96910 <1% 47 $3K
17003 <1% 362 $2K
90651 <1% 138 $2K
77014 <1% 113 $2K
11100 <1% 36 $2K
93294 <1% 356 $2K
43248 <1% 33 $2K
0001A <1% 46 $2K
99222 Initial hospital care, per day, moderate complexity <1% 24 $2K
90685 <1% 196 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 261 $2K
94726 <1% 102 $2K
97597 <1% 121 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 107 $1K
93296 <1% 256 $1K
99442 <1% 62 $1K
0002A <1% 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) <1% 56 $1K
97802 <1% 12 $1K
95251 <1% 61 $1K
20610 <1% 49 $1K
99443 <1% 19 $1K
93295 <1% 77 $938.16
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 89 $904.61
85018 <1% 362 $888.52
11102 <1% 13 $850.82
81002 <1% 239 $763.34
99177 <1% 256 $761.04
95811 <1% 14 $753.00
95909 <1% 15 $723.50
90853 Group psychotherapy (other than of a multiple-family group) <1% 33 $570.90
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 12 $399.82
90674 <1% 15 $353.50
90707 <1% 25 $346.77
93016 <1% 44 $324.16
90696 <1% 27 $321.33
95885 <1% 13 $283.51
95024 <1% 17 $271.04
90785 <1% 38 $265.69
93018 <1% 40 $251.37
90734 <1% 25 $205.59
90716 <1% 12 $204.97
90460 Immunization administration through 18 years of age via any route, first or only component <1% 14 $199.41
88720 <1% 39 $189.39
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 13 $187.04
93321 <1% 47 $147.00
90672 <1% 13 $140.79
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 54 $131.37
93325 <1% 63 $91.91
76937 <1% 18 $50.11
90381 <1% 13 $33.00
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 13 $22.35
93793 <1% 130 $6.64
0502F 0% 5,588 $0.00
0503F 0% 98 $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 officialMONTALVO, DARRIN (EVP CHIEF FINANCIAL /GROWTH OFFICER)
Same official

Other billing entities under MONTALVO, DARRIN

Full network →
ProviderLocationPaid
PeacehealthSedro Woolley, WA$41.28M
PeacehealthVancouver, WA$13.58M

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