Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › VANCOUVER › PEACEHEALTH

PEACEHEALTH

NPI: 1609061969 · VANCOUVER, WA 98664 · Surgery Physician · NPI assigned 09/10/2007

$13.58M
Total Medicaid Paid
270,841
Total Claims
229,626
Beneficiaries
125
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMONTALVO, DARRIN (EVP CHIEF FINAN-GROWTH OFFICER)
NPI Enumeration Date09/10/2007

Related Entities

Other providers sharing the same authorized official: MONTALVO, DARRIN

ProviderCityStateTotal Paid
PEACEHEALTH SEDRO WOOLLEY WA $41.28M
PEACEHEALTH BELLINGHAM WA $26.14M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 36,472 $1.42M
2019 35,580 $1.46M
2020 31,413 $1.39M
2021 40,985 $2.00M
2022 42,486 $2.53M
2023 39,682 $2.34M
2024 44,223 $2.44M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 112,176 95,605 $5.65M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46,849 42,581 $2.34M
J0585 Injection, onabotulinumtoxina, 1 unit 1,206 1,034 $960K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7,765 7,464 $703K
99215 Prolong outpt/office vis 12,100 9,793 $653K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7,893 7,531 $545K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,185 1,410 $248K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,420 866 $215K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 4,297 3,408 $213K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,996 2,776 $203K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,837 1,817 $198K
99205 Prolong outpt/office vis 1,868 1,782 $163K
99233 Prolong inpt eval add15 m 3,743 1,396 $124K
99244 Office or other outpatient consultation, moderate to high complexity 652 646 $78K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 795 779 $75K
64405 1,358 1,174 $67K
99232 Subsequent hospital care, per day, moderate complexity 2,588 1,109 $61K
95811 459 244 $58K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,281 1,266 $57K
90832 Psychotherapy, 30 minutes with patient 1,493 871 $57K
90686 3,478 3,458 $56K
92567 6,260 5,841 $53K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 510 510 $52K
95806 1,634 1,097 $45K
92557 2,434 2,258 $45K
64615 536 519 $40K
45380 Colonoscopy, flexible; with biopsy, single or multiple 531 517 $39K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,185 2,100 $31K
95117 4,615 2,260 $29K
69210 1,271 1,143 $26K
31231 240 230 $25K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 532 527 $24K
92134 2,394 1,854 $24K
76813 309 307 $23K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 251 250 $22K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 172 166 $22K
92504 1,394 1,227 $21K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 269 254 $16K
96040 716 515 $15K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 133 133 $13K
94729 931 636 $13K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,778 1,762 $13K
94060 842 585 $13K
92553 563 521 $12K
95913 82 73 $12K
90966 410 261 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 310 295 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 186 184 $10K
31575 192 167 $10K
J1030 Injection, methylprednisolone acetate, 40 mg 1,268 1,111 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,433 1,413 $10K
67028 Intravitreal injection of a pharmacologic agent 351 257 $10K
Q3014 Telehealth originating site facility fee 385 382 $10K
99243 124 123 $10K
95115 2,277 992 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 484 479 $7K
99223 Prolong inpt eval add15 m 122 106 $7K
20553 230 209 $7K
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) 3,428 3,277 $7K
77427 101 40 $6K
36415 Collection of venous blood by venipuncture 1,205 1,111 $6K
11102 98 97 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 141 140 $5K
95816 40 25 $4K
95024 29 29 $4K
95886 63 62 $4K
90670 204 203 $4K
90791 Psychiatric diagnostic evaluation 38 36 $3K
76819 Fetal biophysical profile; without non-stress testing 62 38 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 29 29 $3K
94726 196 127 $3K
17110 39 39 $2K
90656 192 190 $2K
93971 76 56 $2K
81025 299 296 $2K
17000 104 104 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 94 73 $2K
77300 33 26 $2K
90961 73 55 $2K
92552 85 84 $2K
90677 37 36 $2K
77334 65 38 $2K
81002 555 535 $2K
92555 83 82 $1K
90935 Hemodialysis procedure with single evaluation by a physician 134 49 $1K
92083 70 60 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 222 128 $1K
0072A 26 26 $1K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 16 16 $1K
71046 Radiologic examination, chest; 2 views 80 79 $949.14
99221 13 13 $801.90
77263 12 12 $789.08
93880 12 12 $775.69
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 34 26 $678.61
59025 Fetal non-stress test 20 14 $609.62
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 39 39 $570.74
J1010 Injection, methylprednisolone acetate, 1 mg 78 68 $530.03
92060 14 14 $501.46
99231 Subsequent hospital care, per day, straightforward or low complexity 59 26 $479.66
87807 33 32 $419.74
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 17 12 $337.59
90685 15 15 $288.00
90648 25 25 $286.61
90697 12 12 $269.34
99441 15 12 $255.06
90688 14 14 $249.60
81003 132 129 $232.81
93922 12 12 $219.45
99442 22 12 $177.27
99443 26 14 $177.27
92133 12 12 $156.36
64450 13 13 $142.31
90651 12 12 $133.11
17003 13 13 $132.80
90460 Immunization administration through 18 years of age via any route, first or only component 209 209 $99.40
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 45 38 $81.80
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 14 14 $64.06
51798 15 15 $62.43
90472 Immunization administration, each additional vaccine (list separately) 71 71 $21.76
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 27 27 $2.10
0502F 4,004 3,142 $0.00
90461 12 12 $0.00
0503F 53 50 $0.00
0500F 13 12 $0.00
99406 14 13 $0.00