Physician
Peacehealth
Peacehealth was paid $13.58M by Medicaid between Jan 2018 and Dec 2024, across 125 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoPEACEHEALTH
VANCOUVER, WA 98664
VANCOUVER, WA 98664
33aNPI1609061969assigned 09/10/2007
33bProvider typeSurgery Physician
28Total paid$13.58M
24GClaims270,841
24DCodes billed125
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Surgery Physician providers in Washington
Rank by total paid#2 of 20
Median peer was paid$3K
This provider vs. median3,986×
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 | 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 | |
| 2024incomplete | 44,223 | $2.44M |
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 | 42% | 112,176 | 95,605 | $5.65M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 46,849 | 42,581 | $2.34M |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 7.1% | 1,206 | 1,034 | $960K |
| 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 | 5.2% | 7,765 | 7,464 | $703K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.8% | 12,100 | 9,793 | $653K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.0% | 7,893 | 7,531 | $545K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.8% | 3,185 | 1,410 | $248K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.6% | 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 | 1.6% | 4,297 | 3,408 | $213K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.5% | 2,996 | 2,776 | $203K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.5% | 1,837 | 1,817 | $198K |
| 99205 | Prolong outpt/office vis | 1.2% | 1,868 | 1,782 | $163K |
113 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 3,743 | $124K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 652 | $78K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 795 | $75K |
| 64405 | <1% | 1,358 | $67K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 2,588 | $61K |
| 95811 | <1% | 459 | $58K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 1,281 | $57K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,493 | $57K |
| 90686 | <1% | 3,478 | $56K | |
| 92567 | <1% | 6,260 | $53K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 510 | $52K |
| 95806 | <1% | 1,634 | $45K | |
| 92557 | <1% | 2,434 | $45K | |
| 64615 | <1% | 536 | $40K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 531 | $39K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,185 | $31K |
| 95117 | <1% | 4,615 | $29K | |
| 69210 | <1% | 1,271 | $26K | |
| 31231 | <1% | 240 | $25K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 532 | $24K |
| 92134 | <1% | 2,394 | $24K | |
| 76813 | <1% | 309 | $23K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 251 | $22K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 172 | $22K |
| 92504 | <1% | 1,394 | $21K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 269 | $16K |
| 96040 | <1% | 716 | $15K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 133 | $13K |
| 94729 | <1% | 931 | $13K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,778 | $13K |
| 94060 | <1% | 842 | $13K | |
| 92553 | <1% | 563 | $12K | |
| 95913 | <1% | 82 | $12K | |
| 90966 | <1% | 410 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 310 | $11K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 186 | $10K |
| 31575 | <1% | 192 | $10K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 1,268 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,433 | $10K |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 351 | $10K |
| Q3014 | Telehealth originating site facility fee | <1% | 385 | $10K |
| 99243 | <1% | 124 | $10K | |
| 95115 | <1% | 2,277 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 484 | $7K |
| 99223 | Prolong inpt eval add15 m | <1% | 122 | $7K |
| 20553 | <1% | 230 | $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) | <1% | 3,428 | $7K |
| 77427 | <1% | 101 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,205 | $6K |
| 11102 | <1% | 98 | $5K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 141 | $5K |
| 95816 | <1% | 40 | $4K | |
| 95024 | <1% | 29 | $4K | |
| 95886 | <1% | 63 | $4K | |
| 90670 | <1% | 204 | $4K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 38 | $3K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 62 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 29 | $3K |
| 94726 | <1% | 196 | $3K | |
| 17110 | <1% | 39 | $2K | |
| 90656 | <1% | 192 | $2K | |
| 93971 | <1% | 76 | $2K | |
| 81025 | <1% | 299 | $2K | |
| 17000 | <1% | 104 | $2K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 94 | $2K |
| 77300 | <1% | 33 | $2K | |
| 90961 | <1% | 73 | $2K | |
| 92552 | <1% | 85 | $2K | |
| 90677 | <1% | 37 | $2K | |
| 77334 | <1% | 65 | $2K | |
| 81002 | <1% | 555 | $2K | |
| 92555 | <1% | 83 | $1K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 134 | $1K |
| 92083 | <1% | 70 | $1K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 222 | $1K |
| 0072A | <1% | 26 | $1K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 16 | $1K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 80 | $949.14 |
| 99221 | <1% | 13 | $801.90 | |
| 77263 | <1% | 12 | $789.08 | |
| 93880 | <1% | 12 | $775.69 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 34 | $678.61 |
| 59025 | Fetal non-stress test | <1% | 20 | $609.62 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 39 | $570.74 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 78 | $530.03 |
| 92060 | <1% | 14 | $501.46 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 59 | $479.66 |
| 87807 | <1% | 33 | $419.74 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 17 | $337.59 |
| 90685 | <1% | 15 | $288.00 | |
| 90648 | <1% | 25 | $286.61 | |
| 90697 | <1% | 12 | $269.34 | |
| 99441 | <1% | 15 | $255.06 | |
| 90688 | <1% | 14 | $249.60 | |
| 81003 | <1% | 132 | $232.81 | |
| 93922 | <1% | 12 | $219.45 | |
| 99442 | <1% | 22 | $177.27 | |
| 99443 | <1% | 26 | $177.27 | |
| 92133 | <1% | 12 | $156.36 | |
| 64450 | <1% | 13 | $142.31 | |
| 90651 | <1% | 12 | $133.11 | |
| 17003 | <1% | 13 | $132.80 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 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 | <1% | 45 | $81.80 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 14 | $64.06 |
| 51798 | <1% | 15 | $62.43 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 71 | $21.76 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 27 | $2.10 |
| 0502F | 0% | 4,004 | $0.00 | |
| 90461 | 0% | 12 | $0.00 | |
| 0503F | 0% | 53 | $0.00 | |
| 0500F | 0% | 13 | $0.00 | |
| 99406 | 0% | 14 | $0.00 |
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 officialMONTALVO, DARRIN (EVP CHIEF FINAN-GROWTH OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Peacehealth | Sedro Woolley, WA | $41.28M |
| Peacehealth | Bellingham, WA | $26.14M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.