Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Valley Medical Group-Renton

Valley Medical Group-Renton was paid $28.23M by Medicaid between Jan 2018 and Dec 2024, across 160 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.

33Billing provider infoVALLEY MEDICAL GROUP-RENTON
RENTON, WA 98055
33aNPI1619209574assigned 02/03/2010
33bProvider typeFamily Medicine Physician
28Total paid$28.23M
24GClaims771,293
24DCodes billed160
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Washington

Rank by total paid#5 of 347
Median peer was paid$53K
This provider vs. median534×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201890,633$3.50M
2019102,669$3.88M
202079,956$2.95M
2021122,239$4.03M
2022127,658$4.81M
2023135,900$5.15M
2024incomplete112,238$3.91M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 44% 269,112 255,161 $12.34M
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% 121,710 116,766 $4.71M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.2% 66,855 26,115 $1.46M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.7% 42,522 17,669 $1.33M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.8% 18,456 18,212 $1.07M
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 3.4% 13,084 12,901 $958K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.9% 15,938 14,375 $822K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.8% 7,176 3,252 $521K
99223 Prolong inpt eval add15 m 1.7% 8,260 8,043 $472K
99205 Prolong outpt/office vis 1.1% 2,981 2,938 $315K
90961 1.1% 7,123 6,932 $303K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 11,338 11,090 $261K
148 more codes
99239 Hospital discharge day management, more than 30 minutes <1% 7,231 $236K
59025 Fetal non-stress test <1% 8,516 $233K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 69,469 $219K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 3,260 $194K
90834 Psychotherapy session, about 45 minutes <1% 3,405 $192K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 3,026 $176K
93970 <1% 5,108 $170K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 2,736 $151K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,818 $106K
99284 Emergency room visit (serious) <1% 1,564 $106K
99244 Office or other outpatient consultation, moderate to high complexity <1% 864 $88K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 6,708 $87K
31231 <1% 925 $85K
93978 <1% 2,810 $77K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,939 $75K
95886 <1% 1,968 $75K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care <1% 38 $69K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,464 $66K
90962 <1% 1,971 $63K
90686 <1% 4,134 $62K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,593 $61K
99283 Emergency room visit (moderate) <1% 1,641 $59K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 2,113 $58K
31575 <1% 1,074 $58K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 897 $58K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 2,759 $55K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 675 $42K
93886 <1% 723 $39K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 283 $35K
93971 <1% 1,073 $31K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 1,486 $30K
99222 Initial hospital care, per day, moderate complexity <1% 740 $29K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,970 $29K
96040 <1% 1,145 $28K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,081 $26K
93990 <1% 1,152 $25K
93880 <1% 595 $24K
92557 <1% 1,402 $23K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 373 $22K
20611 <1% 762 $20K
90674 <1% 677 $19K
99221 <1% 584 $18K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,056 $17K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 251 $17K
99255 <1% 142 $17K
92567 <1% 2,487 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 808 $15K
90792 Psychiatric diagnostic evaluation with medical services <1% 133 $12K
93922 <1% 869 $12K
99243 <1% 174 $12K
17110 <1% 198 $12K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 145 $12K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 2,600 $11K
93016 <1% 1,058 $8K
95117 <1% 1,283 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 116 $8K
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% 3,128 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 406 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 407 $7K
76801 <1% 99 $7K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 48 $6K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 93 $6K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 67 $6K
95800 <1% 267 $6K
93000 <1% 930 $5K
99238 Hospital discharge day management, 30 minutes or less <1% 190 $5K
71046 Radiologic examination, chest; 2 views <1% 299 $4K
64644 <1% 130 $4K
95874 <1% 728 $4K
81002 <1% 1,180 $4K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 96 $4K
11750 <1% 46 $4K
93925 <1% 91 $4K
90935 Hemodialysis procedure with single evaluation by a physician <1% 288 $4K
20553 <1% 127 $4K
93018 <1% 676 $4K
99418 Prolong nursin fac eval 15m <1% 93 $4K
90656 <1% 247 $4K
64615 <1% 70 $3K
90715 <1% 107 $3K
94060 <1% 573 $3K
99254 <1% 29 $3K
11302 <1% 38 $2K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) <1% 86 $2K
94726 <1% 404 $2K
81025 <1% 342 $2K
99242 <1% 38 $2K
64643 <1% 88 $2K
82962 <1% 1,215 $2K
99385 <1% 27 $2K
73630 <1% 134 $2K
69210 <1% 161 $2K
95251 <1% 204 $2K
64616 <1% 31 $2K
64405 <1% 48 $2K
94729 <1% 419 $2K
46600 <1% 26 $1K
92553 <1% 86 $1K
95909 <1% 39 $1K
95806 <1% 44 $1K
90791 Psychiatric diagnostic evaluation <1% 14 $1K
76937 <1% 520 $1K
51701 <1% 70 $1K
95816 <1% 62 $1K
90837 Psychotherapy session, about an hour <1% 16 $1K
99152 <1% 472 $1K
11900 <1% 53 $1K
93975 <1% 14 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 12 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 108 $1K
93356 <1% 682 $895.45
64450 <1% 64 $841.12
99451 <1% 45 $840.17
99220 <1% 12 $831.67
92133 <1% 111 $790.31
99497 <1% 157 $766.10
92588 <1% 47 $680.96
97161 <1% 15 $671.00
98926 <1% 39 $670.60
99397 <1% 79 $623.03
93296 <1% 111 $592.61
98927 <1% 26 $582.38
36902 <1% 26 $551.44
0124A <1% 15 $513.20
95812 <1% 13 $465.79
51705 <1% 28 $371.03
99358 Prolong nursin fac eval 15m <1% 24 $317.56
20552 <1% 27 $315.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 52 $278.05
99356 <1% 12 $277.36
11721 <1% 37 $271.02
90688 <1% 16 $265.92
0054A <1% 12 $252.40
92136 <1% 27 $185.36
51798 <1% 42 $183.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 624 $145.89
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) <1% 13 $107.89
92134 <1% 35 $92.30
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 52 $32.61
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 12 $30.23
1158F 0% 868 $0.00
1124F 0% 45 $0.00
91312 0% 15 $0.00
91300 0% 37 $0.00
1157F 0% 637 $0.00
91305 0% 39 $0.00
1123F 0% 1,302 $0.00
99406 0% 82 $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 officialFORGUES LACKIE, MICHELE (SENIOR VICE PRESIDENT FINANCE/CFO)
Parent organizationPUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY