Clinic
104TH Avenue Medical Clinic Incorporated
104TH Avenue Medical Clinic Incorporated was paid $11K by Medicaid between Jan 2018 and May 2023, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 99% of everything it billed.
33Billing provider info104TH AVENUE MEDICAL CLINIC INCORPORATED
KENT, WA 98030
KENT, WA 98030
33aNPI1396921326assigned 01/22/2008
33bProvider typeClinic/Center
28Total paid$11K
24GClaims2,034
24DCodes billed9
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Clinic/Center providers in Washington
Rank by total paid#91 of 113
Median peer was paid$110K
This provider vs. median0.1×
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
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 | 1,006 | $4K | |
| 2019 | 626 | $3K | |
| 2020 | 204 | $1K | |
| 2021 | 90 | $993.08 | |
| 2022 | 78 | $1K | |
| 2023 | 30 | $686.03 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 99% | 864 | 768 | $11K |
| 90756 | <1% | 15 | 14 | $68.37 | |
| 90674 | <1% | 19 | 19 | $24.05 | |
| G0008 | Administration of influenza virus vaccine | <1% | 19 | 19 | $12.11 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 429 | 380 | $0.00 |
| 1123F | 0% | 402 | 356 | $0.00 | |
| 1036F | 0% | 177 | 158 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 97 | 86 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 12 | 12 | $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 officialCHOUDHARY, RANU (VICE-PRESIDENT)