Medicaid Provider Spending

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

EDMONDS HEALTH CLINIC

NPI: 1649553538 · EDMONDS, WA 98020 · Family Medicine Physician · NPI assigned 09/27/2011

$88K
Total Medicaid Paid
1,408
Total Claims
1,276
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBOSTANJIAN, ELLA (OWNER)
NPI Enumeration Date09/27/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 455 $26K
2019 193 $13K
2020 30 $2K
2021 54 $4K
2022 233 $16K
2023 250 $15K
2024 193 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 782 730 $46K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 500 423 $32K
99215 Prolong outpt/office vis 89 87 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 24 24 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 12 $1K