Clinic
Sea Mar Community Health Centers
Sea Mar Community Health Centers was paid $286K by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoSEA MAR COMMUNITY HEALTH CENTERS
MONROE, WA 98272
MONROE, WA 98272
33aNPI1508049008assigned 12/07/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$286K
24GClaims13,175
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Washington
Rank by total paid#93 of 162
Median peer was paid$704K
This provider vs. median0.4×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BARTOLO, MARY controls 20+ related entities in our dataset. Read more
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 | 1,427 | $32K | |
| 2019 | 1,052 | $35K | |
| 2020 | 578 | $13K | |
| 2021 | 661 | $24K | |
| 2022 | 1,146 | $34K | |
| 2023 | 3,108 | $95K | |
| 2024incomplete | 5,203 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 68% | 5,575 | 5,029 | $193K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 13% | 1,780 | 1,559 | $36K |
| 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 | 9.0% | 604 | 558 | $26K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.9% | 87 | 85 | $6K |
| 90686 | 1.4% | 354 | 342 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 67 | 66 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 383 | 377 | $2K |
| 99442 | <1% | 50 | 50 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 39 | 37 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 27 | 25 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 193 | 185 | $2K |
| 91320 | <1% | 14 | 14 | $1K |
22 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 32 | $965.03 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 39 | $881.82 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 181 | $840.68 |
| 90656 | <1% | 95 | $760.13 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 114 | $717.54 |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 22 | $667.15 |
| 90480 | <1% | 26 | $622.42 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 32 | $497.47 |
| 97802 | <1% | 15 | $297.64 | |
| 99441 | <1% | 16 | $279.66 | |
| 90674 | <1% | 17 | $263.57 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $120.02 |
| 90688 | <1% | 20 | $49.48 | |
| 1159F | 0% | 690 | $0.00 | |
| 3078F | 0% | 860 | $0.00 | |
| 1160F | 0% | 469 | $0.00 | |
| 3074F | 0% | 955 | $0.00 | |
| 1126F | 0% | 37 | $0.00 | |
| 3044F | 0% | 237 | $0.00 | |
| 3079F | 0% | 45 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 73 | $0.00 |
| 3075F | 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 officialBARTOLO, MARY (EXECUTIVE VICE PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.