Wenatchee Valley Hospital
Wenatchee Valley Hospital was paid $7.41M by Medicaid between Jan 2018 and Jun 2023, across 27 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 74% of everything it billed.
EAST WENATCHEE, WA 98802
Next to other Rural Health Clinic/Center providers in Washington
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,655 | $26K | |
| 2019 | 1,610 | $33K | |
| 2020 | 15,913 | $1.58M | |
| 2021 | 19,928 | $2.10M | |
| 2022 | 22,360 | $2.43M | |
| 2023 | 10,458 | $1.24M |
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 | 74% | 37,332 | 35,033 | $5.51M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 20,185 | 19,172 | $1.14M |
| 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 | 5.5% | 7,517 | 6,984 | $409K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 728 | 726 | $69K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 717 | 716 | $66K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,349 | 1,227 | $59K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 601 | 577 | $53K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 510 | 442 | $41K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 251 | 249 | $24K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 120 | 119 | $14K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 216 | 182 | $10K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 39 | 39 | $4K |
15 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 36 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 112 | $3K |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 50 | $2K |
| 92551 | <1% | 981 | $1K | |
| 99336 | <1% | 28 | $1K | |
| 99442 | <1% | 18 | $770.20 | |
| 98968 | <1% | 14 | $578.00 | |
| 99173 | <1% | 749 | $444.43 | |
| 90686 | <1% | 197 | $418.11 | |
| 90670 | <1% | 52 | $215.55 | |
| 99335 | <1% | 15 | $210.00 | |
| 90648 | <1% | 37 | $206.36 | |
| 90688 | <1% | 31 | $47.44 | |
| 90633 | <1% | 25 | $44.77 | |
| 90672 | <1% | 14 | $35.58 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Wenatchee Valley Hospital | Wenatchee, WA | $22.82M |
| Wenatchee Valley Hospital | Wenatchee, WA | $19.53M |
| Wenatchee Valley Hospital | Wenatchee, WA | $14.05M |
| Wenatchee Valley Hospital | Moses Lake, WA | $8.59M |
| Wenatchee Valley Hospital | Omak, WA | $5.62M |
| Keystone Medical Services of Gulfport, INC. | Gulfport, MS | $4.53M |
| Keystone Medical Services of MS, INC | Hazlehurst, MS | $4.11M |
| Wenatchee Valley Hospital | Wenatchee, WA | $2.42M |
| Medical Services of Meridian, INC. | Memphis, TN | $2.10M |
| Wenatchee Valley Hospital | Tonasket, WA | $1.18M |
| Wenatchee Valley Hospital | Cashmere, WA | $610K |
| Wenatchee Valley Hospital | Oroville, WA | $448K |
| Keystone Medical Services of Alabama, INC. | Troy, AL | $440K |
| Wenatchee Valley Hospital | Brewster, WA | $420K |
| Wenatchee Valley Hospital | Royal City, WA | $395K |
| Wenatchee Valley Hospital | Ephrata, WA | $394K |
| Wenatchee Valley Hospital | Wenatchee, WA | $357K |
| Keystone Hospitalist Services of MS INC | Tylertown, MS | $268K |
| Wenatchee Valley Hospital | Waterville, WA | $231K |
| Keystone Medical Services of Ferriday, INC. | Ferriday, LA | $227K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.