Medicaid Provider Spending

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

SAN JUAN HEALTHCARE PC

NPI: 1407055742 · FRIDAY HARBOR, WA 98250 · Rural Health Clinic/Center · NPI assigned 07/17/2007

$96K
Total Medicaid Paid
2,253
Total Claims
2,041
Beneficiaries
9
Codes Billed
2018-01
First Month
2020-05
Last Month

Provider Details

Authorized OfficialGOSSOM, JOHN (OWNER)
NPI Enumeration Date07/17/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,076 $47K
2019 836 $37K
2020 341 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,511 1,327 $67K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 448 424 $27K
90688 52 52 $830.67
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 24 23 $554.52
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 43 43 $474.75
36415 Collection of venous blood by venipuncture 111 110 $273.83
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 15 14 $159.98
90686 13 13 $124.02
99001 36 35 $92.00