Medicaid Provider Spending

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

EASTSIDE FAMILY MEDICINE CLINIC

NPI: 1548373368 · BELLEVUE, WA 98004 · Family Medicine Physician · NPI assigned 08/16/2006

$19K
Total Medicaid Paid
427
Total Claims
404
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-11
Last Month

Provider Details

Authorized OfficialHEBERT, MARIA (OFFICE MANAGER)
NPI Enumeration Date08/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 427 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 217 201 $13K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 124 120 $6K
90686 16 16 $136.17
81000 27 26 $86.48
36415 Collection of venous blood by venipuncture 30 29 $69.09
90460 Immunization administration through 18 years of age via any route, first or only component 13 12 $0.00