Pacific Medical Specialty Group

Pacific Medical Specialty Group was paid $336K by Medicaid between Apr 2022 and Dec 2024, across 7 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 61% of everything it billed.

33Billing provider infoPACIFIC MEDICAL SPECIALTY GROUP
ELMA, WA 98541

33aNPI1548911811assigned 01/18/2022

33bProvider typeMulti-Specialty Clinic/Center

28Total paid$336K

24GClaims16,724

24DCodes billed7

24AFirst – last monthApr 2022 – Dec 2024

Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Washington

Rank by total paid#17 of 31

Median peer was paid$338K

This provider vs. median1.0×

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
2022	296	$4K
2023	6,866	$118K
2024incomplete	9,562	$214K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	61%	10,336	6,245	$206K
99308	Subsequent nursing facility care, per day, straightforward	16%	3,972	2,610	$52K
99310	Prolong nursin fac eval 15m	10%	893	755	$35K
99306	Prolong nursin fac eval 15m	6.6%	453	398	$22K
99497		5.2%	904	776	$17K
99305		<1%	101	93	$2K
99307		<1%	65	54	$755.95

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 officialFLEMMING, STANLEY (CMO)