MID-VALLEY COMMUNITY CLINIC, PLLC
NPI: 1447203104
· SUNNYSIDE, WA 98944
· 207Q00000X
$4.41M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
10,839 |
$487K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
54,623 |
46,049 |
$3.03M |
| 99393 |
|
2,166 |
2,159 |
$200K |
| 99394 |
|
1,957 |
1,949 |
$197K |
| 99214 |
|
3,378 |
3,070 |
$186K |
| 99391 |
|
1,950 |
1,872 |
$168K |
| 99392 |
|
1,388 |
1,377 |
$132K |
| T1015 |
Clinic service |
991 |
620 |
$74K |
| 87811 |
|
1,193 |
1,136 |
$48K |
| 99212 |
|
1,084 |
966 |
$43K |
| 87880 |
|
2,720 |
2,675 |
$39K |
| 87804 |
|
2,417 |
2,287 |
$35K |
| 87635 |
|
665 |
592 |
$31K |
| 90688 |
|
1,821 |
1,811 |
$24K |
| 99385 |
|
142 |
142 |
$14K |
| 90670 |
|
732 |
729 |
$10K |
| 90686 |
|
571 |
569 |
$10K |
| 81003 |
|
4,824 |
4,669 |
$10K |
| 94760 |
|
9,388 |
8,545 |
$9K |
| 90680 |
|
561 |
557 |
$8K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
262 |
248 |
$8K |
| D0120 |
|
544 |
540 |
$8K |
| 90471 |
|
923 |
903 |
$7K |
| 87428 |
|
433 |
425 |
$7K |
| 0011A |
|
186 |
186 |
$7K |
| 0012A |
|
181 |
181 |
$7K |
| D9999 |
|
532 |
529 |
$7K |
| D1206 |
|
357 |
355 |
$6K |
| 90697 |
|
312 |
305 |
$5K |
| 76816 |
|
69 |
62 |
$5K |
| 99386 |
|
45 |
45 |
$5K |
| 0072A |
|
114 |
114 |
$5K |
| 76801 |
|
61 |
60 |
$4K |
| 0071A |
|
109 |
108 |
$4K |
| 0001A |
|
95 |
95 |
$4K |
| 0002A |
|
88 |
87 |
$4K |
| 90651 |
|
308 |
306 |
$3K |
| 83036 |
|
485 |
480 |
$3K |
| 90648 |
|
327 |
327 |
$3K |
| 90671 |
|
226 |
222 |
$3K |
| 92551 |
|
417 |
415 |
$3K |
| 0064A |
|
77 |
77 |
$3K |
| 90715 |
|
240 |
240 |
$3K |
| 96110 |
|
332 |
290 |
$3K |
| 90723 |
|
258 |
258 |
$3K |
| 90734 |
|
183 |
181 |
$2K |
| 90633 |
|
91 |
89 |
$2K |
| 87807 |
|
111 |
109 |
$1K |
| 0004A |
|
30 |
30 |
$1K |
| 99204 |
|
14 |
14 |
$1K |
| 76856 |
|
19 |
17 |
$1K |
| 96161 |
|
395 |
379 |
$932.08 |
| 99499 |
|
41 |
41 |
$917.04 |
| 76805 |
|
12 |
12 |
$897.42 |
| 99203 |
|
15 |
13 |
$781.96 |
| 90619 |
|
42 |
42 |
$626.13 |
| 96372 |
|
67 |
66 |
$488.31 |
| 81025 |
|
63 |
62 |
$442.14 |
| 87426 |
|
90 |
90 |
$418.14 |
| 90661 |
|
45 |
45 |
$394.57 |
| 85018 |
|
147 |
147 |
$315.07 |
| G2025 |
Dis site tele svcs rhc/fqhc |
15 |
14 |
$315.03 |
| 90672 |
|
27 |
26 |
$289.55 |
| 90710 |
|
26 |
26 |
$284.52 |
| 82947 |
|
80 |
75 |
$274.35 |
| 90656 |
|
13 |
13 |
$258.99 |
| 83037 |
|
28 |
27 |
$229.09 |
| 90685 |
|
13 |
13 |
$210.23 |
| 90674 |
|
13 |
13 |
$209.96 |
| 99429 |
|
28 |
28 |
$193.06 |
| 36415 |
|
65 |
62 |
$157.21 |
| 90658 |
|
17 |
17 |
$131.19 |
| 81002 |
|
31 |
31 |
$91.76 |
| 90472 |
|
51 |
51 |
$18.36 |
| J1050 |
Medroxyprogesterone acetate |
39 |
38 |
$0.00 |
| 99072 |
|
93 |
88 |
$0.00 |