Arthritis Northwest PLLC
Arthritis Northwest PLLC was paid $622K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
33Billing provider infoARTHRITIS NORTHWEST PLLC
SPOKANE, WA 99204
SPOKANE, WA 99204
33aNPI1558408104assigned 01/31/2007
33bProvider typeSpecialist
28Total paid$622K
24GClaims37,885
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Washington
Rank by total paid#18 of 96
Median peer was paid$49K
This provider vs. median13×
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 | 6,637 | $71K | |
| 2019 | 4,905 | $68K | |
| 2020 | 2,858 | $51K | |
| 2021 | 4,500 | $79K | |
| 2022 | 6,626 | $108K | |
| 2023 | 6,761 | $129K | |
| 2024incomplete | 5,598 | $116K |
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 | 66% | 8,430 | 8,044 | $412K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.4% | 752 | 727 | $58K |
| 80053 | Comprehensive metabolic panel | 6.8% | 5,325 | 5,069 | $42K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.5% | 4,752 | 4,499 | $28K |
| 86140 | 4.0% | 6,032 | 5,743 | $25K | |
| 36415 | Collection of venous blood by venipuncture | 2.9% | 5,365 | 5,100 | $18K |
| 99205 | Prolong outpt/office vis | 2.9% | 177 | 170 | $18K |
| 85652 | 2.0% | 5,704 | 5,436 | $12K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 71 | 71 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 37 | 30 | $2K |
| 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% | 1,067 | 1,040 | $1K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 25 | 25 | $981.50 |
9 more codes
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 officialOXANDABOURE, NANCY JANE (BILLING SUPERVISOR)