Medicaid Provider Spending

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

EDMONDS MEDICAL CLINIC INC

NPI: 1376174979 · EDMONDS, WA 98026 · Family Medicine Physician · NPI assigned 02/01/2020

$12K
Total Medicaid Paid
1,019
Total Claims
886
Beneficiaries
4
Codes Billed
2021-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKOH, STEVEN (PRESIDENT)
NPI Enumeration Date02/01/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 35 $902.40
2022 313 $6K
2023 393 $3K
2024 278 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 960 829 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31 29 $246.29
90686 15 15 $165.23
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $150.02