Clinic
Ellensburg Pediatrics PLLC
Ellensburg Pediatrics PLLC was paid $240K by Medicaid between Jan 2018 and Aug 2018, across 12 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 31% of everything it billed.
33Billing provider infoELLENSBURG PEDIATRICS PLLC
ELLENSBURG, WA 98926
ELLENSBURG, WA 98926
33aNPI1639105992assigned 06/25/2006
33bProvider typeRural Health Clinic/Center
28Total paid$240K
24GClaims5,029
24DCodes billed12
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other Rural Health Clinic/Center providers in Washington
Rank by total paid#63 of 90
Median peer was paid$925K
This provider vs. median0.3×
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 | 5,029 | $240K |
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 | 31% | 2,291 | 2,023 | $74K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 1,000 | 902 | $55K |
| 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 | 19% | 561 | 502 | $45K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 315 | 311 | $26K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 341 | 310 | $26K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 112 | 111 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 30 | 29 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 149 | 143 | $400.08 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15 | 13 | $202.95 |
| 90670 | <1% | 43 | 41 | $147.24 | |
| 90648 | <1% | 13 | 13 | $23.84 | |
| 94760 | <1% | 159 | 142 | $20.57 |
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 officialHERMAN, ELISE (OWNER/PROVIDER)