Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Mount Baker Rheumatology Center PLLC

Mount Baker Rheumatology Center PLLC was paid $359K by Medicaid between Jan 2018 and Aug 2024, across 6 billing codes. Its largest line is J1745, Injection, infliximab, excludes biosimilar, 10 mg — 64% of everything it billed.

33Billing provider infoMOUNT BAKER RHEUMATOLOGY CENTER PLLC
BELLINGHAM, WA 98225
33aNPI1467649376assigned 09/25/2007
33bProvider typeRheumatology Physician
28Total paid$359K
24GClaims3,716
24DCodes billed6
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other Rheumatology Physician providers in Washington

Rank by total paid#1 of 5
Median peer was paid$29K
This provider vs. median12×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2018963$213K
2019867$59K
2020482$34K
2021475$19K
2022346$16K
2023347$13K
2024incomplete236$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J1745 Injection, infliximab, excludes biosimilar, 10 mg 64% 121 108 $231K
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 24% 2,194 2,116 $87K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 8.9% 677 626 $32K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.5% 219 216 $5K
96415 1.1% 392 357 $4K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 113 100 $258.78

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 officialWISNER, DAVID (DELEGATED OFFICIAL)