Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UNIVERSITY PLACE PEDIATRIC CLINIC P S

NPI: 1497922421 · FIRCREST, WA 98466 · Pediatrics Physician · NPI assigned 05/08/2008

$2.78M
Total Medicaid Paid
59,240
Total Claims
55,579
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILES, PAMELA (ACCOUNTS MANAGER)
NPI Enumeration Date05/08/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,674 $407K
2019 8,459 $396K
2020 6,490 $283K
2021 8,931 $347K
2022 8,474 $478K
2023 8,774 $479K
2024 7,438 $386K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,566 13,475 $1.16M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,802 13,726 $894K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,362 2,310 $191K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,001 1,954 $152K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,650 1,568 $128K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 536 525 $44K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,369 1,283 $39K
92552 2,260 2,173 $38K
90686 2,522 2,485 $37K
90688 1,292 1,244 $16K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 831 815 $15K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 594 281 $7K
96127 2,127 2,054 $6K
90670 466 451 $6K
87430 488 448 $6K
90472 Immunization administration, each additional vaccine (list separately) 223 217 $5K
90658 214 214 $4K
85018 2,062 1,927 $4K
81002 1,229 1,137 $3K
0071A 79 78 $3K
90656 455 446 $3K
99173 1,802 1,735 $2K
99215 Prolong outpt/office vis 14 13 $2K
0072A 54 54 $2K
90685 149 147 $1K
0012A 35 34 $1K
0001A 32 32 $1K
0002A 29 28 $1K
0031A 42 42 $1K
90671 54 53 $997.15
90648 94 94 $870.75
90651 55 53 $778.89
90633 73 73 $682.95
90460 Immunization administration through 18 years of age via any route, first or only component 25 24 $550.61
90734 31 31 $422.59
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $335.67
90715 14 14 $263.81
90480 12 12 $221.54
0011A 14 13 $207.53
90697 12 12 $201.80
83655 16 16 $139.13
87420 13 13 $111.41
90723 12 12 $108.30
90677 29 26 $92.38
96161 28 26 $41.00
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 603 584 $10.00
91301 72 70 $0.00
91307 238 209 $0.00
91303 42 42 $0.00
99072 3,381 3,183 $0.00
91300 125 111 $0.00