Medicaid Provider Spending

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

PENINSULA COMMUNITY HEALTH SERVICES

NPI: 1407400682 · BREMERTON, WA 98311 · Addiction (Substance Use Disorder) Counselor · NPI assigned 07/26/2019

$23K
Total Medicaid Paid
412
Total Claims
409
Beneficiaries
4
Codes Billed
2021-09
First Month
2023-03
Last Month

Provider Details

Authorized OfficialDEWALT, JA-ANGEL (REVENUE CYCLE MANAGER)
NPI Enumeration Date07/26/2019

Related Entities

Other providers sharing the same authorized official: DEWALT, JA-ANGEL

ProviderCityStateTotal Paid
PENINSULA COMMUNITY HEALTH SERVICES SILVERDALE WA $205K
PENINSULA COMMUNITY HEALTH SERVICES BREMERTON WA $53K
PENINSULA COMMUNITY HEALTH SERVICES BREMERTON WA $40K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 149 $9K
2022 192 $10K
2023 71 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 303 300 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 85 85 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12 12 $620.20