Clinic
Prosser Public Hospital District of Benton County
Prosser Public Hospital District of Benton County was paid $6.45M by Medicaid between Dec 2018 and Dec 2024, across 33 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoPROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY
PROSSER, WA 99350
PROSSER, WA 99350
33aNPI1477088391assigned 04/28/2017
33bProvider typePrimary Care Clinic/Center
28Total paid$6.45M
24GClaims58,792
24DCodes billed33
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Washington
Rank by total paid#3 of 74
Median peer was paid$59K
This provider vs. median110×
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 | 51 | $3K | |
| 2019 | 4,759 | $253K | |
| 2020 | 8,874 | $528K | |
| 2021 | 12,815 | $802K | |
| 2022 | 10,819 | $1.28M | |
| 2023 | 10,019 | $1.65M | |
| 2024incomplete | 11,455 | $1.92M |
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 | 78% | 29,040 | 24,642 | $5.01M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 17,710 | 15,031 | $860K |
| 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 | 4.3% | 4,402 | 3,822 | $274K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.4% | 1,908 | 1,730 | $153K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 885 | 877 | $76K |
| 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% | 284 | 284 | $19K |
| 99442 | <1% | 280 | 271 | $11K | |
| 90670 | <1% | 802 | 782 | $7K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 85 | 77 | $4K |
| 98967 | <1% | 90 | 87 | $3K | |
| 90686 | <1% | 354 | 352 | $3K | |
| 90671 | <1% | 342 | 342 | $2K |
21 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 634 | $2K |
| 90648 | <1% | 246 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 25 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 18 | $2K |
| 90723 | <1% | 207 | $1K | |
| 90633 | <1% | 197 | $1K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 30 | $1K |
| 90681 | <1% | 181 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 333 | $1K |
| 90698 | <1% | 168 | $1K | |
| 90680 | <1% | 160 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $1K |
| 90697 | <1% | 137 | $1K | |
| 90474 | <1% | 53 | $516.94 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $491.39 |
| 96127 | <1% | 84 | $235.07 | |
| 90707 | <1% | 27 | $159.96 | |
| 90716 | <1% | 25 | $148.04 | |
| 96380 | <1% | 14 | $132.40 | |
| 90710 | <1% | 12 | $121.46 | |
| 0500F | 0% | 33 | $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 officialMARKS, CRAIG (CEO)
Parent organizationPROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY
| Provider | Location | Paid |
|---|---|---|
| Prosser Public Hospital District of Benton County | Prosser, WA | $50.71M |
| Prosser Public Hospital District of Benton County | Benton City, WA | $5.80M |
| 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.