Clinic
Northwest Medical Specialties PLLC
Northwest Medical Specialties PLLC was paid $2.46M by Medicaid between Jan 2018 and Nov 2024, across 45 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoNORTHWEST MEDICAL SPECIALTIES PLLC
TACOMA, WA 98405
TACOMA, WA 98405
33aNPI1548261308assigned 08/02/2005
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$2.46M
24GClaims122,724
24DCodes billed45
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Washington
Rank by total paid#9 of 31
Median peer was paid$338K
This provider vs. median7.3×
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 | 27,559 | $616K | |
| 2019 | 22,219 | $512K | |
| 2020 | 13,901 | $259K | |
| 2021 | 19,707 | $359K | |
| 2022 | 16,957 | $298K | |
| 2023 | 13,020 | $232K | |
| 2024incomplete | 9,361 | $186K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 37% | 23,193 | 20,398 | $900K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 14% | 7,055 | 5,125 | $339K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.5% | 4,612 | 3,877 | $233K |
| 80053 | Comprehensive metabolic panel | 5.4% | 14,601 | 10,077 | $132K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.1% | 2,830 | 1,163 | $126K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.9% | 17,982 | 12,326 | $121K |
| 99223 | Prolong inpt eval add15 m | 4.0% | 1,057 | 1,012 | $99K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.6% | 2,820 | 1,417 | $88K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 2.9% | 2,699 | 2,004 | $72K |
| 36415 | Collection of venous blood by venipuncture | 2.4% | 18,944 | 13,571 | $60K |
| J1447 | Injection, tbo-filgrastim, 1 microgram | 2.0% | 282 | 140 | $49K |
| 96375 | Therapeutic injection; each additional sequential IV push | 1.8% | 4,504 | 3,009 | $45K |
33 more codes
| 99213 | Doctor's office visit, returning patient (routine) | 1.5% | 1,455 | $38K |
| 96367 | 1.2% | 1,845 | $30K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.1% | 3,729 | $27K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 4,130 | $22K |
| J1453 | Injection, fosaprepitant, 1 mg | <1% | 255 | $18K |
| 99205 | Prolong outpt/office vis | <1% | 130 | $10K |
| J2469 | Injection, palonosetron hcl, 25 mcg | <1% | 302 | $10K |
| 82728 | <1% | 439 | $5K | |
| 83615 | <1% | 818 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 58 | $4K |
| 84466 | <1% | 343 | $4K | |
| 82378 | <1% | 218 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 54 | $3K |
| 96417 | <1% | 81 | $3K | |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 2,890 | $2K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 3,596 | $2K |
| 96415 | <1% | 131 | $2K | |
| 0001A | <1% | 71 | $2K | |
| 83540 | <1% | 343 | $2K | |
| 0002A | <1% | 57 | $2K | |
| 85027 | <1% | 263 | $1K | |
| J1756 | Injection, iron sucrose, 1 mg | <1% | 37 | $1K |
| 85652 | <1% | 353 | $931.33 | |
| 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% | 293 | $830.41 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 36 | $738.14 |
| 99221 | <1% | 18 | $533.97 | |
| 96368 | <1% | 15 | $162.24 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 13 | $67.16 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 30 | $55.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 47 | $48.90 |
| 85651 | <1% | 13 | $35.66 | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 37 | $29.04 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 45 | $18.94 |
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 officialNELSON, MARK (COO)
| Provider | Location | Paid |
|---|---|---|
| Mark H Nelson MD PA | Winston Salem, NC | $2K |
| Thurston County Fire Protection Dist 6 | Olympia, WA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.