Sumas Clinic, INC. P.S.

Sumas Clinic, INC. P.S. was paid $166K by Medicaid between Jan 2018 and Nov 2021, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.

33Billing provider infoSUMAS CLINIC, INC. P.S.
SUMAS, WA 98295

33aNPI1508056052assigned 07/31/2007

33bProvider typeFamily Medicine Physician

28Total paid$166K

24GClaims3,919

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2021

Compared with peers

Next to other Family Medicine Physician providers in Washington

Rank by total paid#130 of 347

Median peer was paid$53K

This provider vs. median3.1×

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	1,505	$60K
2019	1,143	$48K
2020	701	$32K
2021	570	$26K

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	53%	2,163	1,949	$89K
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	46%	1,623	1,484	$77K
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%	12	12	$685.14
36415	Collection of venous blood by venipuncture	<1%	121	117	$281.05

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 officialTHOMPSON, RODNEY (PHYSICIAN/PRESIDENT)