Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WA › Tacoma › NPI 1366539421
Physician

Franciscan Medical Group

Franciscan Medical Group was paid $92.98M by Medicaid between Jan 2018 and Dec 2024, across 317 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.

33Billing provider infoFRANCISCAN MEDICAL GROUP
TACOMA, WA 98405
33aNPI1366539421assigned 10/09/2006
33bProvider typeFamily Medicine Physician
28Total paid$92.98M
24GClaims2,017,015
24DCodes billed317
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Washington

Rank by total paid#1 of 347
Median peer was paid$53K
This provider vs. median1,757×

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$1.0M$2.0M2018201920202021202220232024
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
2018263,739$11.19M
2019276,982$11.82M
2020252,106$11.13M
2021315,805$14.28M
2022321,335$15.71M
2023322,671$15.73M
2024incomplete264,377$13.13M
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 43% 710,932 678,138 $40.10M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 302,213 289,326 $14.61M
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 4.0% 46,817 46,225 $3.72M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.2% 61,854 29,509 $2.98M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2.3% 30,171 28,265 $2.10M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.3% 65,027 28,206 $2.10M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.2% 20,257 20,116 $2.01M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.1% 21,542 20,499 $1.98M
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% 30,357 29,830 $1.87M
99223 Prolong inpt eval add15 m 1.9% 18,950 18,489 $1.75M
J0585 Injection, onabotulinumtoxina, 1 unit 1.5% 1,886 1,330 $1.37M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.5% 33,318 32,907 $1.37M
305 more codes
99215 Doctor's office visit, returning patient (complex) 1.4% 20,707 $1.28M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1.3% 11,383 $1.22M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.0% 9,383 $934K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 9,172 $792K
76819 Fetal biophysical profile; without non-stress testing <1% 14,456 $781K
99244 Office or other outpatient consultation, moderate to high complexity <1% 5,407 $629K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 11,841 $611K
90686 <1% 29,369 $542K
99239 Hospital discharge day management, more than 30 minutes <1% 8,228 $437K
90961 <1% 7,316 $360K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 93,634 $356K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 15,713 $354K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 3,346 $327K
95886 <1% 3,942 $315K
76801 <1% 4,281 $310K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 3,880 $310K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 20,046 $286K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 2,175 $284K
93970 <1% 9,666 $280K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 5,524 $277K
93971 <1% 10,960 $243K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 2,105 $228K
90670 <1% 11,640 $176K
90792 Psychiatric diagnostic evaluation with medical services <1% 2,053 $162K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 3,532 $162K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 12,653 $159K
99205 Prolong outpt/office vis <1% 1,616 $152K
59025 Fetal non-stress test <1% 3,580 $150K
99220 <1% 1,860 $132K
76813 <1% 1,760 $129K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 8,246 $126K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 2,716 $123K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 1,939 $117K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 3,867 $113K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 2,140 $112K
99243 <1% 1,386 $108K
90680 <1% 7,109 $108K
99442 <1% 2,511 $106K
90648 <1% 6,820 $97K
99222 Initial hospital care, per day, moderate complexity <1% 1,459 $94K
90834 Psychotherapy session, about 45 minutes <1% 2,050 $92K
76825 <1% 536 $86K
20610 <1% 2,699 $82K
90723 <1% 5,900 $81K
11045 <1% 903 $80K
93000 <1% 11,886 $78K
93922 <1% 4,240 $77K
92557 <1% 3,943 $76K
31231 <1% 685 $70K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 7,718 $70K
90791 Psychiatric diagnostic evaluation <1% 1,022 $68K
90633 <1% 4,104 $64K
99443 <1% 1,216 $64K
92551 <1% 7,771 $62K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,756 $60K
73630 <1% 3,643 $60K
90962 <1% 1,297 $59K
64615 <1% 750 $56K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 1,230 $56K
76820 <1% 1,877 $55K
90832 Psychotherapy session, about 30 minutes <1% 1,847 $55K
90697 <1% 2,613 $49K
90935 Hemodialysis procedure with single evaluation by a physician <1% 2,146 $49K
52000 <1% 566 $48K
29848 <1% 215 $47K
90677 <1% 2,142 $47K
90472 Immunization administration, each additional vaccine (list separately) <1% 1,886 $45K
81025 <1% 5,804 $44K
95251 <1% 2,907 $44K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 1,053 $43K
92015 Determination of refractive state <1% 4,132 $41K
71046 Radiologic examination, chest; 2 views <1% 3,232 $38K
31575 <1% 682 $38K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 2,049 $38K
93880 <1% 663 $38K
90970 <1% 23,347 $34K
95806 <1% 973 $33K
90688 <1% 2,463 $33K
99429 <1% 1,089 $32K
99499 <1% 1,098 $31K
92567 <1% 3,784 $30K
73610 <1% 1,626 $29K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 4,904 $28K
95910 <1% 294 $28K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 266 $28K
99242 <1% 497 $28K
93296 <1% 4,276 $28K
95913 <1% 173 $28K
90710 <1% 1,702 $26K
83036 Hemoglobin; glycosylated (A1C) <1% 3,186 $25K
17110 <1% 329 $23K
59510 <1% 13 $23K
90647 <1% 1,723 $22K
99460 <1% 256 $21K
20553 <1% 728 $21K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 50 $21K
81002 <1% 6,916 $21K
90732 <1% 187 $21K
64493 <1% 349 $20K
76827 <1% 470 $20K
93298 <1% 1,376 $20K
92504 <1% 1,461 $20K
96127 <1% 5,151 $20K
90837 Psychotherapy session, about an hour <1% 230 $19K
90656 <1% 1,935 $19K
69210 <1% 999 $19K
11721 <1% 1,851 $18K
90651 <1% 1,074 $18K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 466 $17K
93295 <1% 1,389 $17K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 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) <1% 4,014 $15K
99253 <1% 222 $15K
51798 <1% 2,707 $15K
90836 <1% 256 $14K
99383 <1% 124 $14K
90685 <1% 1,035 $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 <1% 906 $13K
99238 Hospital discharge day management, 30 minutes or less <1% 233 $12K
93016 <1% 1,373 $12K
99173 <1% 6,110 $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) <1% 305 $11K
62323 <1% 297 $11K
99152 <1% 1,779 $10K
95816 <1% 405 $10K
99358 Prolong nursin fac eval 15m <1% 742 $10K
64494 <1% 319 $10K
90715 <1% 412 $10K
99188 <1% 676 $9K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 171 $9K
82962 <1% 4,370 $9K
99255 <1% 72 $9K
36415 Collection of venous blood by venipuncture <1% 2,860 $8K
95911 <1% 65 $8K
95909 <1% 112 $8K
91200 <1% 541 $8K
93018 <1% 1,275 $8K
93248 <1% 600 $7K
0072A <1% 160 $7K
99385 <1% 60 $7K
93294 <1% 1,402 $7K
94729 <1% 340 $7K
90672 <1% 347 $7K
91065 <1% 159 $7K
0124A <1% 187 $7K
99441 <1% 308 $7K
64405 <1% 127 $7K
90700 <1% 369 $7K
96150 <1% 135 $6K
96161 <1% 3,032 $6K
76830 Ultrasound, transvaginal <1% 81 $6K
72100 <1% 383 $6K
0071A <1% 141 $6K
93325 <1% 642 $6K
11100 <1% 99 $6K
73130 <1% 329 $6K
90734 <1% 373 $5K
73562 <1% 293 $5K
94060 <1% 320 $5K
30520 <1% 14 $5K
G9149 National committee for quality assurance - level 2 medical home <1% 29 $5K
73030 <1% 319 $4K
90707 <1% 248 $4K
00731 <1% 37 $4K
85018 <1% 1,703 $4K
20550 <1% 149 $4K
90474 <1% 296 $4K
99221 <1% 92 $4K
0031A <1% 92 $4K
99493 <1% 28 $4K
90716 <1% 233 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 320 $4K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 102 $4K
90696 <1% 182 $4K
51728 <1% 38 $4K
95811 <1% 56 $3K
97804 <1% 317 $3K
0011A <1% 74 $3K
94726 <1% 155 $3K
94618 <1% 241 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 68 $3K
93280 <1% 298 $3K
72110 <1% 140 $3K
00811 <1% 25 $3K
20611 <1% 58 $3K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 215 $3K
0012A <1% 59 $3K
0001A <1% 63 $3K
72190 <1% 133 $3K
93925 <1% 40 $3K
93458 <1% 21 $2K
99219 <1% 54 $2K
0082A <1% 54 $2K
92588 <1% 132 $2K
64483 <1% 48 $2K
90620 <1% 18 $2K
90785 <1% 285 $2K
51729 <1% 19 $2K
G9150 National committee for quality assurance - level 3 medical home <1% 35 $2K
91320 <1% 18 $2K
99241 <1% 67 $2K
62321 <1% 40 $2K
73564 <1% 88 $2K
99217 <1% 61 $2K
0054A <1% 49 $2K
99382 <1% 15 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 137 $2K
97803 <1% 31 $2K
27096 <1% 32 $1K
99407 <1% 102 $1K
0004A <1% 35 $1K
93308 <1% 106 $1K
99497 <1% 26 $1K
92083 <1% 58 $1K
0002A <1% 28 $1K
0003A <1% 27 $1K
73110 <1% 66 $1K
90480 <1% 51 $1K
72040 <1% 77 $1K
20605 <1% 104 $1K
0081A <1% 24 $1K
64450 <1% 41 $1K
96380 <1% 70 $1K
92553 <1% 51 $1K
90473 <1% 53 $993.44
11102 <1% 13 $956.47
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 12 $949.94
73502 <1% 47 $920.65
93244 <1% 88 $907.50
93015 <1% 26 $885.54
51797 <1% 20 $857.46
30140 <1% 12 $821.29
93299 <1% 85 $802.39
20552 <1% 39 $786.36
95819 <1% 25 $761.06
0298T <1% 26 $751.22
46600 <1% 12 $726.49
94010 <1% 66 $707.18
J1030 Injection, methylprednisolone acetate, 40 mg <1% 88 $656.96
0074A <1% 14 $632.00
95885 <1% 16 $630.48
99252 <1% 14 $629.18
51705 <1% 33 $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) <1% 197 $582.40
81003 <1% 259 $581.76
93990 <1% 14 $461.79
94664 <1% 45 $454.17
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass <1% 27 $450.16
95874 <1% 12 $422.13
51741 <1% 91 $394.75
90698 <1% 51 $375.78
11056 <1% 14 $367.51
0296T <1% 13 $358.52
90674 <1% 14 $356.99
92250 <1% 25 $356.06
74018 <1% 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 <1% 33 $310.26
51784 <1% 20 $290.46
99451 <1% 15 $274.83
92134 <1% 12 $211.28
90660 <1% 70 $208.18
93923 <1% 24 $203.28
93321 <1% 72 $192.01
93272 <1% 14 $173.19
76942 <1% 12 $172.39
74420 <1% 13 $162.14
87807 <1% 13 $161.72
90744 <1% 24 $160.70
92133 <1% 14 $155.33
93227 <1% 12 $153.75
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 15 $136.21
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 108 $115.23
90381 <1% 47 $104.51
93040 <1% 16 $91.37
99447 <1% 28 $89.01
99401 <1% 16 $73.23
93246 <1% 12 $63.41
99308 Subsequent nursing facility care, per day, straightforward <1% 13 $42.94
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 12 $24.64
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 130 $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 <1% 42 $4.13
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 12 $3.53
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg <1% 18 $2.03
3008F 0% 8,999 $0.00
91307 0% 518 $0.00
1220F 0% 219 $0.00
99406 0% 820 $0.00
0503F 0% 83 $0.00
91303 0% 92 $0.00
91305 0% 71 $0.00
0501F 0% 65 $0.00
91301 0% 182 $0.00
G0008 Administration of influenza virus vaccine 0% 52 $0.00
3074F 0% 13 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 13 $0.00
99024 0% 12 $0.00
0502F 0% 53,497 $0.00
1160F 0% 215 $0.00
3725F 0% 1,103 $0.00
91312 0% 154 $0.00
91300 0% 463 $0.00
91308 0% 188 $0.00
3078F 0% 54 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 65 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 36 $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 officialNOSACKA, DAVID (CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under NOSACKA, DAVID

Full network →
ProviderLocationPaid
Franciscan Medical GroupSilverdale, WA$7.67M
Franciscan Health SystemUniversity Place, WA$6.38M
Franciscan Health SystemTacoma, WA$2.66M
Franciscan Medical GroupSilverdale, WA$171K
Franciscan Medical GroupTacoma, WA$44K

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