Physician
Peacehealth Medical Group - Sedro Woolley
Peacehealth Medical Group - Sedro Woolley was paid $1.83M by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoPEACEHEALTH MEDICAL GROUP - SEDRO WOOLLEY
SEDRO WOOLLEY, WA 98284
SEDRO WOOLLEY, WA 98284
33aNPI1407283179assigned 09/26/2013
33bProvider typeFamily Medicine Physician
28Total paid$1.83M
24GClaims36,063
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Washington
Rank by total paid#43 of 347
Median peer was paid$53K
This provider vs. median35×
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 | 3,589 | $154K | |
| 2019 | 5,869 | $206K | |
| 2020 | 5,955 | $237K | |
| 2021 | 5,381 | $261K | |
| 2022 | 5,537 | $356K | |
| 2023 | 5,018 | $320K | |
| 2024incomplete | 4,714 | $300K |
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 | 49% | 14,911 | 12,889 | $898K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 14,196 | 12,683 | $708K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.2% | 1,971 | 1,862 | $151K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.0% | 175 | 169 | $19K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 909 | 880 | $15K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 149 | 148 | $13K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,291 | 1,665 | $7K |
| 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 | <1% | 72 | 69 | $6K |
| 90686 | <1% | 356 | 352 | $6K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 161 | 160 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 168 | 164 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 24 | 24 | $1K |
10 more codes
| 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% | 371 | $1K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 153 | $523.84 |
| 90656 | <1% | 12 | $209.58 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 12 | $179.78 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 27 | $164.10 |
| 96127 | <1% | 29 | $122.10 | |
| 81002 | <1% | 14 | $33.52 | |
| 81003 | <1% | 13 | $25.74 | |
| 99406 | 0% | 13 | $0.00 | |
| 0502F | 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 officialHODGKINSON, KIMBERLY (EVP CFO)
| Provider | Location | Paid |
|---|---|---|
| HSHS Medical Group INC | Altamont, IL | $336K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.