Medicaid Provider Spending

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

SHC MEDICAL CENTER TOPPENISH

NPI: 1659809457 · ZILLAH, WA 98953 · Family Medicine Physician · NPI assigned 05/24/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MATHIESEN, MATHEW controls 13+ related entities in our dataset. Read more

$663K
Total Medicaid Paid
7,673
Total Claims
6,968
Beneficiaries
7
Codes Billed
2018-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMATHIESEN, MATHEW (CFO)
NPI Enumeration Date05/24/2017

Related Entities

Other providers sharing the same authorized official: MATHIESEN, MATHEW

ProviderCityStateTotal Paid
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION SUNNYSIDE WA $55.09M
SHC MEDICAL CENTER TOPPENISH TOPPENISH WA $15.10M
SHC MEDICAL CENTER - YAKIMA YAKIMA WA $6.93M
SHC MEDICAL CENTER TOPPENISH UNION GAP WA $4.99M
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION PROSSER WA $2.35M
SHC MEDICAL CENTER TOPPENISH TOPPENISH WA $381K
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION UNION GAP WA $316K
SUNNYSIDE COMMUNITY HOSPITAL YAKIMA WA $51K
SHC MEDICAL CENTER - YAKIMA YAKIMA WA $11K
SUNNYSIDE COMMUNITY HOSPITAL SUNNYSIDE WA $4K
SUNNYSIDE COMMUNITY HOSPITAL SUNNYSIDE WA $860.66
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION YAKIMA WA $839.86
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION UNION GAP WA $696.97

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 87 $4K
2019 424 $21K
2020 1,335 $79K
2021 1,434 $86K
2022 1,600 $92K
2023 1,764 $116K
2024 1,029 $265K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 5,113 4,615 $512K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,701 1,554 $96K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 509 456 $33K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 250 245 $16K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 56 56 $5K
90686 26 25 $342.74
99442 18 17 $315.95