Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTH SOUND SURGICAL ASSOCIATES

NPI: 1639261258 · OLYMPIA, WA 98502 · Surgery Physician · NPI assigned 09/29/2006

$19K
Total Medicaid Paid
648
Total Claims
447
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTOLLEFSON, DAVID (MANAGING PARTNER)
NPI Enumeration Date09/29/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 194 $5K
2019 165 $6K
2020 13 $925.79
2021 58 $963.24
2022 21 $586.10
2023 66 $2K
2024 131 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 545 353 $13K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 32 32 $3K
93971 53 50 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 18 12 $386.38