WESTERN WASHINGTON MEDICAL GROUP, INC PS

NPI: 1376761775 · EVERETT, WA 98201 · Orthopaedic Surgery Physician · NPI assigned 04/23/2007

$100K

Total Medicaid Paid

2,402

Total Claims

2,255

Beneficiaries

Codes Billed

2018-01

First Month

2024-11

Last Month

Provider Details

Authorized Official	MCGINNIS, VICKI (PM SYSTEM ADMINISTRATOR)
Parent Organization	WESTERN WASHINGTON MEDICAL GROUP
NPI Enumeration Date	04/23/2007

Other providers sharing the same authorized official: MCGINNIS, VICKI

Provider	City	State	Total Paid
WESTERN WASHINGTON MEDICAL GROUP, INC PS	EVERETT	WA	$1.31M
WESTERN WASHINGTON MEDICAL GROUP, INC PS	EVERETT	WA	$179K
WESTERN WASHINGTON MEDICAL GROUP, INC PS	EVERETT	WA	$138K
WESTERN WASHINGTON MEDICAL GROUP, INC PS	EVERETT	WA	$67K
WESTERN WASHINGTON MEDICAL GROUP, INC PS	EVERETT	WA	$54K
WESTERN WASHINGTON MEDICAL GROUP, INC PS	SNOHOMISH	WA	$31K
WESTERN WASHINGTON MEDICAL GROUP, INC PS	EVERETT	WA	$172.15

Code	Description	Claims	Beneficiaries	Total Paid
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	468	447	$34K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	726	679	$31K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	729	680	$25K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	145	144	$8K
20610		53	42	$2K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	37	33	$584.97
J1030	Injection, methylprednisolone acetate, 40 mg	27	26	$164.60
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)	47	46	$154.38
99072		112	104	$0.00
1159F		58	54	$0.00