Clinic
Squaxin Island Medical Encounter
Squaxin Island Medical Encounter was paid $4.61M by Medicaid between Jan 2018 and Sep 2024, across 15 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoSQUAXIN ISLAND MEDICAL ENCOUNTER
SHELTON, WA 98584
SHELTON, WA 98584
33aNPI1598973158assigned 05/18/2007
33bProvider typeHealth Service Clinic/Center
28Total paid$4.61M
24GClaims20,173
24DCodes billed15
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Health Service Clinic/Center providers in Washington
Rank by total paid#3 of 19
Median peer was paid$104K
This provider vs. median44×
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 | 3,796 | $597K | |
| 2019 | 3,560 | $623K | |
| 2020 | 3,093 | $692K | |
| 2021 | 4,749 | $951K | |
| 2022 | 2,708 | $829K | |
| 2023 | 1,589 | $637K | |
| 2024incomplete | 678 | $280K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 94% | 11,503 | 8,834 | $4.35M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 3,427 | 2,779 | $122K |
| 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 | 1.8% | 1,496 | 1,273 | $81K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,784 | 1,361 | $36K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,020 | 804 | $10K |
| 0012A | <1% | 157 | 153 | $5K | |
| 0011A | <1% | 155 | 149 | $3K | |
| 0071A | <1% | 13 | 12 | $480.00 | |
| 90674 | <1% | 18 | 15 | $338.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 128 | 105 | $120.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 67 | 60 | $112.77 |
| 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% | 40 | 37 | $19.26 |
3 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 officialJONES, WHITNEY (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Squaxin Island Dental Clinic Encounter | Shelton, WA | $1.12M |
| Eastern Oregon Orthopaedic Surgery & Fracture Clinic, INC | Pendleton, OR | $19K |
| Squaxin Island Dental Clinic FFS | Shelton, WA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.