Medicaid Provider Spending

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

FRANCISCAN MEDICAL GROUP

NPI: 1366539421 · TACOMA, WA 98405 · Family Medicine Physician · NPI assigned 10/09/2006

$92.98M
Total Medicaid Paid
2,017,015
Total Claims
1,813,072
Beneficiaries
317
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNOSACKA, DAVID (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date10/09/2006

Related Entities

Other providers sharing the same authorized official: NOSACKA, DAVID

ProviderCityStateTotal Paid
FRANCISCAN MEDICAL GROUP SILVERDALE WA $7.67M
FRANCISCAN HEALTH SYSTEM UNIVERSITY PLACE WA $6.38M
FRANCISCAN HEALTH SYSTEM TACOMA WA $2.66M
FRANCISCAN MEDICAL GROUP SILVERDALE WA $171K
FRANCISCAN MEDICAL GROUP TACOMA WA $44K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 263,739 $11.19M
2019 276,982 $11.82M
2020 252,106 $11.13M
2021 315,805 $14.28M
2022 321,335 $15.71M
2023 322,671 $15.73M
2024 264,377 $13.13M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 710,932 678,138 $40.10M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 302,213 289,326 $14.61M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 46,817 46,225 $3.72M
99233 Prolong inpt eval add15 m 61,854 29,509 $2.98M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 30,171 28,265 $2.10M
99232 Subsequent hospital care, per day, moderate complexity 65,027 28,206 $2.10M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 20,257 20,116 $2.01M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 21,542 20,499 $1.98M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 30,357 29,830 $1.87M
99223 Prolong inpt eval add15 m 18,950 18,489 $1.75M
J0585 Injection, onabotulinumtoxina, 1 unit 1,886 1,330 $1.37M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 33,318 32,907 $1.37M
99215 Prolong outpt/office vis 20,707 19,207 $1.28M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 11,383 11,231 $1.22M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9,383 9,342 $934K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 9,172 9,080 $792K
76819 Fetal biophysical profile; without non-stress testing 14,456 12,429 $781K
99244 Office or other outpatient consultation, moderate to high complexity 5,407 5,359 $629K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 11,841 11,731 $611K
90686 29,369 29,159 $542K
99239 Hospital discharge day management, more than 30 minutes 8,228 8,022 $437K
90961 7,316 7,211 $360K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 93,634 78,373 $356K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 15,713 7,779 $354K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,346 1,391 $327K
95886 3,942 3,824 $315K
76801 4,281 4,191 $310K
45380 Colonoscopy, flexible; with biopsy, single or multiple 3,880 3,856 $310K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 20,046 19,684 $286K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2,175 2,152 $284K
93970 9,666 9,431 $280K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 5,524 5,242 $277K
93971 10,960 10,706 $243K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,105 2,099 $228K
90670 11,640 11,574 $176K
90792 Psychiatric diagnostic evaluation with medical services 2,053 1,913 $162K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,532 3,480 $162K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12,653 12,421 $159K
99205 Prolong outpt/office vis 1,616 1,599 $152K
59025 Fetal non-stress test 3,580 2,619 $150K
99220 1,860 1,831 $132K
76813 1,760 1,731 $129K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 8,246 4,073 $126K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,716 2,674 $123K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,939 1,931 $117K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,867 3,707 $113K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,140 1,816 $112K
99243 1,386 1,374 $108K
90680 7,109 7,080 $108K
99442 2,511 2,391 $106K
90648 6,820 6,777 $97K
99222 Initial hospital care, per day, moderate complexity 1,459 1,417 $94K
90834 Psychotherapy, 45 minutes with patient 2,050 1,279 $92K
76825 536 510 $86K
20610 2,699 2,458 $82K
90723 5,900 5,869 $81K
11045 903 343 $80K
93000 11,886 11,703 $78K
93922 4,240 4,167 $77K
92557 3,943 3,909 $76K
31231 685 678 $70K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7,718 7,648 $70K
90791 Psychiatric diagnostic evaluation 1,022 980 $68K
90633 4,104 4,072 $64K
99443 1,216 1,154 $64K
92551 7,771 7,724 $62K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,756 3,685 $60K
73630 3,643 2,972 $60K
90962 1,297 1,284 $59K
64615 750 735 $56K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,230 1,217 $56K
76820 1,877 1,159 $55K
90832 Psychotherapy, 30 minutes with patient 1,847 1,175 $55K
90697 2,613 2,605 $49K
90935 Hemodialysis procedure with single evaluation by a physician 2,146 1,174 $49K
52000 566 560 $48K
29848 215 206 $47K
90677 2,142 2,134 $47K
90472 Immunization administration, each additional vaccine (list separately) 1,886 1,863 $45K
81025 5,804 5,585 $44K
95251 2,907 2,845 $44K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,053 1,039 $43K
92015 Determination of refractive state 4,132 4,112 $41K
71046 Radiologic examination, chest; 2 views 3,232 3,173 $38K
31575 682 669 $38K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,049 739 $38K
93880 663 655 $38K
90970 23,347 829 $34K
95806 973 969 $33K
90688 2,463 2,459 $33K
99429 1,089 1,063 $32K
99499 1,098 1,071 $31K
92567 3,784 3,752 $30K
73610 1,626 1,449 $29K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 4,904 4,748 $28K
95910 294 292 $28K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 266 266 $28K
99242 497 491 $28K
93296 4,276 4,231 $28K
95913 173 172 $28K
90710 1,702 1,692 $26K
83036 Hemoglobin; glycosylated (A1C) 3,186 3,144 $25K
17110 329 251 $23K
59510 13 12 $23K
90647 1,723 1,719 $22K
99460 256 243 $21K
20553 728 678 $21K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 50 49 $21K
81002 6,916 6,729 $21K
90732 187 187 $21K
64493 349 311 $20K
76827 470 444 $20K
93298 1,376 1,351 $20K
92504 1,461 1,412 $20K
96127 5,151 5,027 $20K
90837 Psychotherapy, 53 minutes with patient 230 156 $19K
90656 1,935 1,919 $19K
69210 999 977 $19K
11721 1,851 1,836 $18K
90651 1,074 1,071 $18K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 466 152 $17K
93295 1,389 1,374 $17K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 106 106 $16K
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) 4,014 3,831 $15K
99253 222 209 $15K
51798 2,707 2,634 $15K
90836 256 234 $14K
99383 124 124 $14K
90685 1,035 1,028 $14K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 906 889 $13K
99238 Hospital discharge day management, 30 minutes or less 233 227 $12K
93016 1,373 1,367 $12K
99173 6,110 6,074 $11K
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) 305 205 $11K
62323 297 296 $11K
99152 1,779 1,740 $10K
95816 405 393 $10K
99358 Prolong nursin fac eval 15m 742 706 $10K
64494 319 236 $10K
90715 412 407 $10K
99188 676 658 $9K
95810 Polysomnography; sleep staging with 4 or more additional parameters 171 163 $9K
82962 4,370 4,244 $9K
99255 72 69 $9K
36415 Collection of venous blood by venipuncture 2,860 2,793 $8K
95911 65 64 $8K
95909 112 109 $8K
91200 541 539 $8K
93018 1,275 1,271 $8K
93248 600 595 $7K
0072A 160 159 $7K
99385 60 60 $7K
93294 1,402 1,390 $7K
94729 340 334 $7K
90672 347 346 $7K
91065 159 156 $7K
0124A 187 183 $7K
99441 308 297 $7K
64405 127 127 $7K
90700 369 369 $7K
96150 135 134 $6K
96161 3,032 2,960 $6K
76830 Ultrasound, transvaginal 81 79 $6K
72100 383 381 $6K
0071A 141 139 $6K
93325 642 607 $6K
11100 99 97 $6K
73130 329 288 $6K
90734 373 371 $5K
73562 293 235 $5K
94060 320 313 $5K
30520 14 14 $5K
G9149 National committee for quality assurance - level 2 medical home 29 29 $5K
73030 319 293 $4K
90707 248 243 $4K
00731 37 37 $4K
85018 1,703 1,684 $4K
20550 149 143 $4K
90474 296 296 $4K
99221 92 87 $4K
0031A 92 92 $4K
99493 28 28 $4K
90716 233 228 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 320 307 $4K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 102 95 $4K
90696 182 182 $4K
51728 38 37 $4K
95811 56 56 $3K
97804 317 185 $3K
0011A 74 74 $3K
94726 155 152 $3K
94618 241 239 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 68 62 $3K
93280 298 295 $3K
72110 140 140 $3K
00811 25 25 $3K
20611 58 56 $3K
J1040 Injection, methylprednisolone acetate, 80 mg 215 200 $3K
0012A 59 59 $3K
0001A 63 61 $3K
72190 133 131 $3K
93925 40 40 $3K
93458 21 21 $2K
99219 54 54 $2K
0082A 54 53 $2K
92588 132 132 $2K
64483 48 48 $2K
90620 18 17 $2K
90785 285 274 $2K
51729 19 19 $2K
G9150 National committee for quality assurance - level 3 medical home 35 35 $2K
91320 18 18 $2K
99241 67 67 $2K
62321 40 40 $2K
73564 88 63 $2K
99217 61 57 $2K
0054A 49 48 $2K
99382 15 14 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 137 135 $2K
97803 31 25 $2K
27096 32 32 $1K
99407 102 96 $1K
0004A 35 34 $1K
93308 106 95 $1K
99497 26 26 $1K
92083 58 57 $1K
0002A 28 28 $1K
0003A 27 27 $1K
73110 66 58 $1K
90480 51 51 $1K
72040 77 77 $1K
20605 104 103 $1K
0081A 24 24 $1K
64450 41 41 $1K
96380 70 70 $1K
92553 51 51 $1K
90473 53 52 $993.44
11102 13 13 $956.47
J1050 Injection, medroxyprogesterone acetate, 1 mg 12 12 $949.94
73502 47 46 $920.65
93244 88 87 $907.50
93015 26 26 $885.54
51797 20 20 $857.46
30140 12 12 $821.29
93299 85 81 $802.39
20552 39 37 $786.36
95819 25 24 $761.06
0298T 26 26 $751.22
46600 12 12 $726.49
94010 66 64 $707.18
J1030 Injection, methylprednisolone acetate, 40 mg 88 88 $656.96
0074A 14 14 $632.00
95885 16 15 $630.48
99252 14 14 $629.18
51705 33 27 $590.56
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) 197 195 $582.40
81003 259 252 $581.76
93990 14 12 $461.79
94664 45 44 $454.17
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass 27 24 $450.16
95874 12 12 $422.13
51741 91 90 $394.75
90698 51 51 $375.78
11056 14 14 $367.51
0296T 13 13 $358.52
90674 14 14 $356.99
92250 25 25 $356.06
74018 26 26 $323.39
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 33 33 $310.26
51784 20 20 $290.46
99451 15 15 $274.83
92134 12 12 $211.28
90660 70 70 $208.18
93923 24 24 $203.28
93321 72 67 $192.01
93272 14 14 $173.19
76942 12 12 $172.39
74420 13 12 $162.14
87807 13 13 $161.72
90744 24 24 $160.70
92133 14 14 $155.33
93227 12 12 $153.75
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 15 14 $136.21
J1885 Injection, ketorolac tromethamine, per 15 mg 108 103 $115.23
90381 47 47 $104.51
93040 16 16 $91.37
99447 28 28 $89.01
99401 16 16 $73.23
93246 12 12 $63.41
99308 Subsequent nursing facility care, per day, straightforward 13 12 $42.94
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 12 12 $24.64
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 130 128 $12.28
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 42 41 $4.13
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12 12 $3.53
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg 18 15 $2.03
3008F 8,999 8,924 $0.00
91307 518 475 $0.00
1220F 219 218 $0.00
99406 820 780 $0.00
0503F 83 81 $0.00
91303 92 92 $0.00
91305 71 68 $0.00
0501F 65 65 $0.00
91301 182 182 $0.00
G0008 Administration of influenza virus vaccine 52 52 $0.00
3074F 13 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13 13 $0.00
99024 12 12 $0.00
0502F 53,497 40,497 $0.00
1160F 215 201 $0.00
3725F 1,103 1,097 $0.00
91312 154 152 $0.00
91300 463 441 $0.00
91308 188 176 $0.00
3078F 54 47 $0.00
G0444 Annual depression screening, 5 to 15 minutes 65 64 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 36 34 $0.00