Clinic
Prosser Public Hospital District of Benton County
Prosser Public Hospital District of Benton County was paid $5.80M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 79% of everything it billed.
33Billing provider infoPROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY
BENTON CITY, WA 99320
BENTON CITY, WA 99320
33aNPI1437199072assigned 06/08/2006
33bProvider typeRural Health Clinic/Center
28Total paid$5.80M
24GClaims46,961
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Washington
Rank by total paid#10 of 90
Median peer was paid$925K
This provider vs. median6.3×
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 | 8,076 | $598K | |
| 2019 | 8,038 | $1.05M | |
| 2020 | 5,844 | $754K | |
| 2021 | 5,920 | $710K | |
| 2022 | 5,789 | $739K | |
| 2023 | 6,800 | $964K | |
| 2024incomplete | 6,494 | $983K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 79% | 23,042 | 20,454 | $4.61M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 13,304 | 12,030 | $638K |
| 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 | 3.3% | 3,106 | 2,898 | $189K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 1,483 | 1,397 | $119K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 1,095 | 1,092 | $96K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.0% | 692 | 447 | $60K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 475 | 471 | $42K |
| 99443 | <1% | 138 | 124 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 66 | 57 | $6K |
| 90670 | <1% | 686 | 664 | $5K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 67 | 62 | $4K |
| 90686 | <1% | 365 | 358 | $4K |
18 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 912 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 92 | $3K |
| 90680 | <1% | 247 | $2K | |
| 90698 | <1% | 192 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 16 | $1K |
| 90677 | <1% | 165 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $1K |
| 90633 | <1% | 131 | $1K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 14 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 367 | $989.90 |
| 90710 | <1% | 54 | $540.25 | |
| 90697 | <1% | 41 | $439.41 | |
| 96127 | <1% | 124 | $244.90 | |
| 90744 | <1% | 24 | $119.06 | |
| 90648 | <1% | 12 | $93.50 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $75.81 |
| 90734 | <1% | 12 | $23.84 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 12 | $7.28 |
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 officialMARKS, CRAIG (CEO)
Parent organizationPROSSER PUBLIC HOSPITAL DISTRICT OF BENTON CO.
| Provider | Location | Paid |
|---|---|---|
| Prosser Public Hospital District of Benton County | Prosser, WA | $50.71M |
| Prosser Public Hospital District of Benton County | Prosser, WA | $6.45M |
| Prosser Public Hospital District of Benton County | Grandview, WA | $4.64M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.