Clinic
Sea-Mar Community Health Center
Sea-Mar Community Health Center was paid $42.52M by Medicaid between Jan 2018 and Dec 2024, across 186 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
33Billing provider infoSEA-MAR COMMUNITY HEALTH CENTER
SEATTLE, WA 98108
SEATTLE, WA 98108
33aNPI1356487318assigned 01/29/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$42.52M
24GClaims1,033,297
24DCodes billed186
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Washington
Rank by total paid#2 of 162
Median peer was paid$704K
This provider vs. median60×
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 | 172,963 | $6.23M | |
| 2019 | 212,000 | $10.09M | |
| 2020 | 218,902 | $7.37M | |
| 2021 | 195,013 | $8.18M | |
| 2022 | 161,490 | $7.33M | |
| 2023 | 43,056 | $1.89M | |
| 2024incomplete | 29,873 | $1.44M |
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 | 20% | 251,481 | 239,075 | $8.38M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 18% | 77,733 | 51,368 | $7.58M |
| G9149 | National committee for quality assurance - level 2 medical home | 13% | 26,458 | 26,180 | $5.36M |
| 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 | 9.9% | 79,363 | 76,232 | $4.20M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 9.6% | 32,295 | 20,451 | $4.10M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 2.9% | 4,983 | 458 | $1.22M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.0% | 13,664 | 9,714 | $864K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 16,037 | 15,962 | $715K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 18,601 | 18,503 | $658K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.3% | 10,029 | 5,139 | $536K |
| 96153 | 1.2% | 8,383 | 2,628 | $513K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 25,540 | 24,477 | $486K |
174 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 9,305 | $486K |
| 96165 | 1.1% | 14,852 | $478K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 11,496 | $421K |
| 99442 | <1% | 14,899 | $398K | |
| 90686 | <1% | 47,404 | $326K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 8,991 | $281K |
| 96164 | <1% | 15,477 | $273K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 36,967 | $272K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 31,186 | $265K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,584 | $263K |
| G9150 | National committee for quality assurance - level 3 medical home | <1% | 1,840 | $256K |
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | <1% | 886 | $247K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,884 | $237K |
| 99441 | <1% | 15,220 | $224K | |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 4,797 | $217K |
| G9148 | National committee for quality assurance - level 1 medical home | <1% | 740 | $215K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 3,782 | $203K |
| 99443 | <1% | 2,996 | $184K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 4,131 | $164K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,594 | $161K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,896 | $142K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 4,300 | $129K |
| 80061 | Lipid panel | <1% | 11,146 | $113K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 583 | $101K |
| H2036 | Alcohol and/or other drug treatment program, per diem | <1% | 8,543 | $101K |
| D1110 | Prophylaxis - adult | <1% | 1,867 | $72K |
| 90715 | <1% | 4,270 | $72K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,515 | $71K |
| 90670 | <1% | 8,359 | $67K | |
| H0046 | Mental health services, not otherwise specified | <1% | 2,236 | $59K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 6,684 | $53K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 9,122 | $53K |
| D0120 | Dental checkup, returning patient | <1% | 2,173 | $51K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,530 | $51K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 918 | $48K |
| D1206 | Topical application of fluoride varnish | <1% | 2,320 | $47K |
| 90651 | <1% | 3,195 | $47K | |
| 80305 | <1% | 4,850 | $46K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 964 | $41K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,115 | $39K |
| D1120 | Dental cleaning, child | <1% | 1,610 | $36K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 411 | $35K |
| D0274 | Bitewings - four radiographic images | <1% | 2,785 | $35K |
| 82274 | <1% | 2,147 | $34K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 15,180 | $33K |
| 90688 | <1% | 4,815 | $30K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,511 | $28K |
| 90633 | <1% | 4,120 | $27K | |
| 99383 | <1% | 276 | $25K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,405 | $22K |
| H0034 | Medication training and support, per 15 minutes | <1% | 1,636 | $22K |
| 97802 | <1% | 424 | $22K | |
| Q3014 | Telehealth originating site facility fee | <1% | 830 | $20K |
| 99381 | <1% | 289 | $20K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 321 | $18K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,162 | $18K |
| 90648 | <1% | 2,605 | $18K | |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 648 | $17K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 281 | $17K |
| 97803 | <1% | 435 | $17K | |
| 90710 | <1% | 2,476 | $17K | |
| 81025 | <1% | 2,403 | $16K | |
| D4341 | <1% | 563 | $15K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,271 | $14K |
| H0001 | Alcohol and/or drug assessment | <1% | 76 | $14K |
| D1351 | Sealant - per tooth | <1% | 915 | $14K |
| 90734 | <1% | 2,090 | $13K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 144 | $13K |
| 90723 | <1% | 1,810 | $12K | |
| 99205 | Prolong outpt/office vis | <1% | 39 | $11K |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 45,636 | $11K |
| 90750 | <1% | 98 | $11K | |
| H0003 | Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs | <1% | 488 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,093 | $10K |
| 90677 | <1% | 315 | $10K | |
| 20610 | <1% | 242 | $10K | |
| 99384 | <1% | 95 | $10K | |
| 82948 | <1% | 2,740 | $9K | |
| 82043 | <1% | 2,009 | $9K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 376 | $9K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 72 | $8K |
| T1001 | Nursing assessment / evaluation | <1% | 702 | $8K |
| 81002 | <1% | 3,475 | $8K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,388 | $8K |
| 92250 | <1% | 278 | $8K | |
| 92015 | Determination of refractive state | <1% | 890 | $7K |
| D1999 | <1% | 2,938 | $7K | |
| 90732 | <1% | 94 | $6K | |
| 99201 | <1% | 262 | $6K | |
| 90707 | <1% | 612 | $6K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 140 | $6K |
| 90698 | <1% | 1,025 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,089 | $6K |
| 85018 | <1% | 4,978 | $6K | |
| 90685 | <1% | 519 | $6K | |
| T1017 | Case management, billed per 15 minutes | <1% | 413 | $5K |
| D0270 | <1% | 1,433 | $5K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 100 | $5K |
| 90716 | <1% | 551 | $4K | |
| S9446 | Patient education, not otherwise classified, non-physician provider, group, per session | <1% | 148 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 544 | $4K |
| D1354 | <1% | 1,002 | $4K | |
| 99385 | <1% | 40 | $4K | |
| 90696 | <1% | 660 | $4K | |
| 83655 | <1% | 808 | $4K | |
| 92551 | <1% | 911 | $4K | |
| 85014 | <1% | 4,056 | $3K | |
| 73564 | <1% | 135 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 255 | $3K |
| 90658 | <1% | 374 | $3K | |
| 90620 | <1% | 188 | $3K | |
| 90700 | <1% | 425 | $3K | |
| 90681 | <1% | 387 | $3K | |
| 90697 | <1% | 222 | $3K | |
| 99382 | <1% | 27 | $3K | |
| H2023 | Supported employment, per 15 minutes | <1% | 60 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 76 | $2K |
| 90619 | <1% | 93 | $2K | |
| 90739 | <1% | 79 | $2K | |
| 93000 | <1% | 188 | $2K | |
| 99173 | <1% | 1,058 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 275 | $1K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 171 | $1K |
| 91321 | <1% | 14 | $1K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 22 | $1K |
| 90746 | <1% | 54 | $1K | |
| D0330 | Panoramic radiographic image | <1% | 27 | $1K |
| 90744 | <1% | 168 | $1K | |
| 90647 | <1% | 239 | $1K | |
| 90674 | <1% | 104 | $1K | |
| 82075 | <1% | 47 | $999.12 | |
| 90713 | <1% | 108 | $967.06 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 43 | $916.52 |
| D4342 | <1% | 102 | $906.40 | |
| 94010 | <1% | 63 | $753.72 | |
| H2014 | Skills training and development, per 15 minutes | <1% | 20 | $629.11 |
| H0031 | Mental health assessment, by non-physician | <1% | 57 | $627.92 |
| 97162 | <1% | 12 | $600.00 | |
| 90672 | <1% | 304 | $466.07 | |
| 90680 | <1% | 103 | $440.75 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 22 | $325.32 |
| 97035 | <1% | 22 | $183.70 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 12 | $155.33 |
| 73030 | <1% | 14 | $148.58 | |
| 0011A | <1% | 12 | $145.36 | |
| 73502 | <1% | 14 | $110.92 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 12 | $79.68 |
| 87210 | <1% | 16 | $77.12 | |
| 36416 | <1% | 135 | $64.21 | |
| 85651 | <1% | 18 | $61.45 | |
| D0240 | <1% | 48 | $35.64 | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 40 | $30.49 |
| 81001 | <1% | 14 | $9.96 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 12 | $1.54 |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | <1% | 321 | $0.09 |
| 3078F | 0% | 1,958 | $0.00 | |
| 99080 | 0% | 677 | $0.00 | |
| H2011 | Crisis intervention service, per 15 minutes | 0% | 1,878 | $0.00 |
| 98960 | 0% | 16 | $0.00 | |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 0% | 172 | $0.00 |
| S9470 | Nutritional counseling, dietitian visit | 0% | 33 | $0.00 |
| D0190 | 0% | 24 | $0.00 | |
| 0502F | 0% | 18 | $0.00 | |
| 3074F | 0% | 2,594 | $0.00 | |
| D0603 | 0% | 171 | $0.00 | |
| T1016 | Case management, each 15 minutes | 0% | 342 | $0.00 |
| H0030 | Behavioral health hotline service | 0% | 645 | $0.00 |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 17 | $0.00 |
| T1002 | Rn services, up to 15 minutes | 0% | 48 | $0.00 |
| 3079F | 0% | 237 | $0.00 | |
| 3044F | 0% | 123 | $0.00 | |
| 3075F | 0% | 12 | $0.00 | |
| T1027 | Family training and counseling for child development, per 15 minutes | 0% | 21 | $0.00 |
| S9482 | Family stabilization services, per 15 minutes | 0% | 17 | $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 (EXECUTIVE VICE PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.