Physician
Mid-Valley Community Clinic, PLLC
Mid-Valley Community Clinic, PLLC was paid $4.41M by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
33Billing provider infoMID-VALLEY COMMUNITY CLINIC, PLLC
SUNNYSIDE, WA 98944
SUNNYSIDE, WA 98944
33aNPI1447203104assigned 05/17/2006
33bProvider typeFamily Medicine Physician
28Total paid$4.41M
24GClaims101,456
24DCodes billed75
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Washington
Rank by total paid#28 of 347
Median peer was paid$53K
This provider vs. median83×
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 | 15,272 | $572K | |
| 2019 | 14,008 | $581K | |
| 2020 | 12,952 | $532K | |
| 2021 | 17,373 | $724K | |
| 2022 | 17,379 | $869K | |
| 2023 | 13,633 | $643K | |
| 2024incomplete | 10,839 | $487K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 69% | 54,623 | 46,049 | $3.03M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.5% | 2,166 | 2,159 | $200K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.5% | 1,957 | 1,949 | $197K |
| 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 | 4.2% | 3,378 | 3,070 | $186K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.8% | 1,950 | 1,872 | $168K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.0% | 1,388 | 1,377 | $132K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 1.7% | 991 | 620 | $74K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.1% | 1,193 | 1,136 | $48K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,084 | 966 | $43K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,720 | 2,675 | $39K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,417 | 2,287 | $35K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 665 | 592 | $31K |
63 more codes
| 90688 | <1% | 1,821 | $24K | |
| 99385 | <1% | 142 | $14K | |
| 90670 | <1% | 732 | $10K | |
| 90686 | <1% | 571 | $10K | |
| 81003 | <1% | 4,824 | $10K | |
| 94760 | <1% | 9,388 | $9K | |
| 90680 | <1% | 561 | $8K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 262 | $8K |
| D0120 | Dental checkup, returning patient | <1% | 544 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 923 | $7K |
| 87428 | <1% | 433 | $7K | |
| 0011A | <1% | 186 | $7K | |
| 0012A | <1% | 181 | $7K | |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 532 | $7K |
| D1206 | Topical application of fluoride varnish | <1% | 357 | $6K |
| 90697 | <1% | 312 | $5K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 69 | $5K |
| 99386 | <1% | 45 | $5K | |
| 0072A | <1% | 114 | $5K | |
| 76801 | <1% | 61 | $4K | |
| 0071A | <1% | 109 | $4K | |
| 0001A | <1% | 95 | $4K | |
| 0002A | <1% | 88 | $4K | |
| 90651 | <1% | 308 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 485 | $3K |
| 90648 | <1% | 327 | $3K | |
| 90671 | <1% | 226 | $3K | |
| 92551 | <1% | 417 | $3K | |
| 0064A | <1% | 77 | $3K | |
| 90715 | <1% | 240 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 332 | $3K |
| 90723 | <1% | 258 | $3K | |
| 90734 | <1% | 183 | $2K | |
| 90633 | <1% | 91 | $2K | |
| 87807 | <1% | 111 | $1K | |
| 0004A | <1% | 30 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $1K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 19 | $1K |
| 96161 | <1% | 395 | $932.08 | |
| 99499 | <1% | 41 | $917.04 | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 12 | $897.42 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $781.96 |
| 90619 | <1% | 42 | $626.13 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 67 | $488.31 |
| 81025 | <1% | 63 | $442.14 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 90 | $418.14 |
| 90661 | <1% | 45 | $394.57 | |
| 85018 | <1% | 147 | $315.07 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 15 | $315.03 |
| 90672 | <1% | 27 | $289.55 | |
| 90710 | <1% | 26 | $284.52 | |
| 82947 | <1% | 80 | $274.35 | |
| 90656 | <1% | 13 | $258.99 | |
| 83037 | <1% | 28 | $229.09 | |
| 90685 | <1% | 13 | $210.23 | |
| 90674 | <1% | 13 | $209.96 | |
| 99429 | <1% | 28 | $193.06 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 65 | $157.21 |
| 90658 | <1% | 17 | $131.19 | |
| 81002 | <1% | 31 | $91.76 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 51 | $18.36 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 39 | $0.00 |
| 99072 | 0% | 93 | $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 officialHALMA, HARLAN (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Swofford & Halma Clinic, INC. P.S. | Sunnyside, WA | $5.40M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.