Physician
Sunnyside Community Hospital Association
Sunnyside Community Hospital Association was paid $1.91M by Medicaid between Jan 2018 and Oct 2020, across 37 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 52% of everything it billed.
33Billing provider infoSUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
SUNNYSIDE, WA 98944
SUNNYSIDE, WA 98944
33aNPI1467464396assigned 08/12/2006
33bProvider typePediatrics Physician
28Total paid$1.91M
24GClaims33,358
24DCodes billed37
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other Pediatrics Physician providers in Washington
Rank by total paid#17 of 110
Median peer was paid$57K
This provider vs. median34×
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 | 13,495 | $760K | |
| 2019 | 12,164 | $710K | |
| 2020 | 7,699 | $445K |
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 | 52% | 14,269 | 12,346 | $999K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 10,485 | 9,128 | $608K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.5% | 1,287 | 1,265 | $106K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.2% | 1,115 | 1,079 | $80K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 507 | 499 | $43K |
| 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 | 1.0% | 226 | 218 | $20K |
| 99460 | <1% | 230 | 208 | $13K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 696 | 346 | $9K |
| 90686 | <1% | 859 | 852 | $7K | |
| 90670 | <1% | 809 | 803 | $5K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 94 | 84 | $3K |
| 90680 | <1% | 496 | 494 | $3K |
25 more codes
| 90647 | <1% | 316 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 166 | $2K |
| 90633 | <1% | 291 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 29 | $1K |
| 90698 | <1% | 220 | $1K | |
| 90710 | <1% | 201 | $1K | |
| 99354 | <1% | 15 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | $970.06 |
| 90723 | <1% | 118 | $820.81 | |
| 90685 | <1% | 90 | $808.00 | |
| 90700 | <1% | 111 | $738.85 | |
| 90648 | <1% | 132 | $717.00 | |
| 90688 | <1% | 82 | $606.94 | |
| 90744 | <1% | 88 | $523.94 | |
| 90651 | <1% | 63 | $521.08 | |
| 99462 | <1% | 14 | $405.21 | |
| 90658 | <1% | 64 | $370.73 | |
| 99442 | <1% | 18 | $326.25 | |
| 90734 | <1% | 49 | $219.36 | |
| 90715 | <1% | 35 | $187.18 | |
| 90655 | <1% | 20 | $179.64 | |
| 90656 | <1% | 12 | $65.80 | |
| 90696 | <1% | 12 | $65.56 | |
| 90473 | <1% | 97 | $10.02 | |
| 90649 | 0% | 14 | $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 officialOWENS, MAXWELL (CFO)
| Provider | Location | Paid |
|---|---|---|
| Sunnyside Community Hospital Association | Sunnyside, WA | $6.96M |
| Sunnyside Community Hospital Association | Sunnyside, WA | $5.75M |
| Sunnyside Community Hospital Association | Sunnyside, WA | $1.47M |
| Sunnyside Community Hospital Association | Yakima, WA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.