Clinic
Virginia Mason Medical Center
Virginia Mason Medical Center was paid $2.48M by Medicaid between Jan 2018 and Nov 2024, across 69 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoVIRGINIA MASON MEDICAL CENTER
SEATTLE, WA 98101
SEATTLE, WA 98101
33aNPI1558493908assigned 03/12/2007
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$2.48M
24GClaims91,749
24DCodes billed69
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Washington
Rank by total paid#8 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 | 15,285 | $421K | |
| 2019 | 14,428 | $375K | |
| 2020 | 12,722 | $313K | |
| 2021 | 14,557 | $385K | |
| 2022 | 12,518 | $321K | |
| 2023 | 13,110 | $380K | |
| 2024incomplete | 9,129 | $285K |
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 | 29% | 14,216 | 13,421 | $713K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 14% | 11,021 | 10,558 | $357K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 11% | 3,100 | 3,011 | $283K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.2% | 3,104 | 1,305 | $154K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 4.2% | 1,678 | 1,613 | $105K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.8% | 27,895 | 24,680 | $94K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.7% | 2,953 | 857 | $92K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.7% | 949 | 371 | $92K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 2,207 | 2,085 | $81K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.2% | 3,068 | 2,997 | $80K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 1,275 | 1,233 | $70K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.2% | 1,044 | 1,006 | $53K |
57 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.8% | 523 | $45K |
| 70450 | Computed tomography, head or brain; without contrast material | 1.7% | 2,020 | $43K |
| 71045 | Radiologic examination, chest; single view | 1.3% | 7,134 | $32K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 264 | $27K |
| 99283 | Emergency room visit (moderate) | 1.0% | 741 | $25K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 266 | $19K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,511 | $17K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 224 | $11K |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 409 | $10K |
| 92134 | <1% | 1,330 | $9K | |
| 90961 | <1% | 264 | $8K | |
| 99205 | Prolong outpt/office vis | <1% | 43 | $6K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 315 | $6K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 108 | $5K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 127 | $5K |
| 73630 | <1% | 330 | $4K | |
| 92202 | <1% | 740 | $3K | |
| 64615 | <1% | 40 | $3K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 103 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 40 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 239 | $2K |
| 88342 | <1% | 114 | $2K | |
| 92015 | Determination of refractive state | <1% | 214 | $2K |
| 90686 | <1% | 231 | $2K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 66 | $2K |
| 92133 | <1% | 277 | $1K | |
| 90962 | <1% | 100 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 14 | $1K |
| 92250 | <1% | 250 | $1K | |
| 84165 | <1% | 111 | $933.94 | |
| 92226 | <1% | 230 | $925.87 | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 12 | $909.92 |
| 93298 | <1% | 75 | $793.75 | |
| 11721 | <1% | 82 | $704.98 | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 14 | $480.93 |
| 73130 | <1% | 29 | $420.96 | |
| 73564 | <1% | 28 | $389.33 | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 17 | $364.90 |
| 73610 | <1% | 27 | $348.12 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 180 | $322.29 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $305.61 |
| 36415 | Collection of venous blood by venipuncture | <1% | 52 | $273.15 |
| 95816 | <1% | 13 | $270.76 | |
| 88104 | <1% | 17 | $254.21 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 26 | $248.53 |
| 0001A | <1% | 20 | $235.96 | |
| 74018 | <1% | 31 | $185.69 | |
| 93321 | <1% | 51 | $178.36 | |
| 93325 | <1% | 69 | $160.90 | |
| 88112 | <1% | 13 | $153.27 | |
| 93320 | <1% | 12 | $133.51 | |
| 73030 | <1% | 13 | $109.72 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $89.62 |
| 92551 | <1% | 13 | $88.43 | |
| 96127 | <1% | 14 | $83.30 | |
| 95115 | <1% | 16 | $79.04 | |
| 90656 | <1% | 12 | $47.04 |
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 officialHILT, MONICA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Virginia Mason Medical Center | Seattle, WA | $19.23M |
| Virginia Mason Medical Center | Lynnwood, WA | $8K |
| Virginia Mason Medical Center | Seattle, WA | $5K |
| Virginia Mason Medical Center | Seattle, WA | $259.03 |
| Virginia Mason Medical Center | Seattle, WA | $212.00 |
| Virginia Mason Medical Center | Seattle, WA | $153.23 |
| Virginia Mason Medical Center | Seattle, WA | $144.91 |
| Virginia Mason Medical Center | Seattle, WA | $14.01 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.