Medicaid Provider Spending

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

WENATCHEE VALLEY HOSPITAL

NPI: 1669719688 · WENATCHEE, WA 98801 · Case Management Registered Nurse · NPI assigned 01/10/2013

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

Authorized official ADAMS, GLENN controls 20+ related entities in our dataset. Read more

$19.53M
Total Medicaid Paid
484,358
Total Claims
445,609
Beneficiaries
285
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialADAMS, GLENN (COO)
Parent OrganizationWENATCHEE VALLEY HOSPITAL
NPI Enumeration Date01/10/2013

Related Entities

Other providers sharing the same authorized official: ADAMS, GLENN

ProviderCityStateTotal Paid
WENATCHEE VALLEY HOSPITAL WENATCHEE WA $22.82M
WENATCHEE VALLEY HOSPITAL WENATCHEE WA $14.05M
WENATCHEE VALLEY HOSPITAL MOSES LAKE WA $8.59M
WENATCHEE VALLEY HOSPITAL EAST WENATCHEE WA $7.41M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 81,229 $2.58M
2019 162,178 $7.19M
2020 58,687 $1.93M
2021 73,604 $2.65M
2022 69,180 $3.25M
2023 39,480 $1.94M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 103,623 98,048 $5.08M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 43,128 40,758 $2.69M
99284 Emergency department visit for the evaluation and management, high severity 9,022 8,917 $696K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 10,611 10,455 $549K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 7,414 7,295 $538K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,588 5,493 $502K
77067 Screening mammography, bilateral, including computer-aided detection 5,385 5,343 $492K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8,353 8,246 $464K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 14,917 7,542 $438K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,736 4,428 $399K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,231 4,194 $393K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,188 4,162 $383K
90834 Psychotherapy, 45 minutes with patient 6,469 4,948 $313K
T2022 Case management, per month 1,982 1,732 $277K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3,532 3,488 $273K
90832 Psychotherapy, 30 minutes with patient 7,273 5,558 $266K
90961 4,670 4,562 $227K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,131 2,127 $207K
90686 12,647 12,533 $197K
92015 Determination of refractive state 18,578 17,398 $193K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,917 2,121 $188K
99283 Emergency department visit for the evaluation and management, moderate severity 3,333 3,320 $174K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 2,441 2,355 $166K
76830 Ultrasound, transvaginal 3,048 3,014 $165K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,428 3,393 $164K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,909 2,734 $144K
99233 Prolong inpt eval add15 m 4,371 2,360 $143K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 2,155 2,128 $141K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 2,955 2,758 $119K
99244 Office or other outpatient consultation, moderate to high complexity 965 948 $115K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,471 3,411 $113K
99243 1,394 1,377 $104K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,902 1,877 $102K
76642 2,047 1,752 $97K
0002A 2,144 2,132 $93K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,499 2,441 $93K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,886 704 $91K
90791 Psychiatric diagnostic evaluation 1,198 1,174 $91K
0001A 1,981 1,976 $86K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,597 4,048 $85K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 829 818 $81K
71046 Radiologic examination, chest; 2 views 6,703 6,517 $79K
99215 Prolong outpt/office vis 751 737 $79K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 612 599 $79K
99232 Subsequent hospital care, per day, moderate complexity 3,972 1,974 $76K
99223 Prolong inpt eval add15 m 1,049 1,014 $69K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 596 577 $69K
90670 4,233 4,209 $68K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 1,353 1,335 $61K
90847 Family psychotherapy with the patient present, 50 minutes 1,047 831 $61K
92557 3,332 3,292 $59K
76770 1,238 1,221 $55K
92567 6,625 6,510 $49K
99239 Hospital discharge day management, more than 30 minutes 1,408 1,354 $49K
92340 Fitting of spectacles, except for aphakia; monofocal 2,366 2,272 $48K
0004A 1,141 1,136 $48K
90792 Psychiatric diagnostic evaluation with medical services 512 501 $46K
99460 600 586 $45K
95886 1,246 1,219 $40K
90837 Psychotherapy, 53 minutes with patient 577 349 $39K
90648 2,293 2,282 $37K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 327 324 $36K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,417 1,341 $35K
90680 2,222 2,212 $35K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,369 1,250 $35K
99238 Hospital discharge day management, 30 minutes or less 722 700 $30K
92551 3,638 3,613 $28K
71045 Radiologic examination, chest; single view 7,466 6,757 $27K
74183 211 206 $26K
92550 1,911 1,884 $24K
D0120 Periodic oral evaluation - established patient 863 859 $24K
90962 655 641 $24K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 6,736 6,146 $24K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 3,160 3,068 $21K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,028 578 $21K
92587 1,573 1,547 $20K
92579 706 689 $19K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 221 220 $19K
90633 1,144 1,131 $18K
90688 1,187 1,166 $18K
76536 342 338 $18K
67028 Intravitreal injection of a pharmacologic agent 563 513 $17K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 833 815 $17K
70450 Computed tomography, head or brain; without contrast material 852 821 $16K
D9999 Unspecified adjunctive procedure, by report 670 667 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,451 1,429 $15K
73110 1,088 977 $15K
73630 1,917 1,557 $14K
71271 346 343 $13K
90723 839 834 $13K
77065 Tomosynthesis, mammo 193 181 $13K
73221 118 118 $13K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 444 244 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,245 1,008 $13K
71260 Computed tomography, thorax, diagnostic; with contrast material 364 356 $12K
0012A 256 256 $11K
99499 558 551 $11K
80053 Comprehensive metabolic panel 1,038 995 $11K
73610 1,185 1,041 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 760 751 $11K
95810 Polysomnography; sleep staging with 4 or more additional parameters 107 56 $11K
0011A 281 281 $10K
36415 Collection of venous blood by venipuncture 3,993 3,589 $10K
99173 5,690 5,648 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 670 665 $10K
97162 215 212 $10K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 131 56 $10K
90651 587 586 $9K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 193 189 $9K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,070 1,028 $9K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,472 2,414 $9K
99354 111 110 $9K
80050 General health panel 215 214 $8K
87428 117 116 $8K
99429 337 334 $8K
17110 114 111 $8K
97803 234 196 $8K
64615 174 171 $8K
Q3014 Telehealth originating site facility fee 327 191 $8K
92134 1,058 973 $8K
81025 918 884 $7K
99462 211 184 $7K
99205 Prolong outpt/office vis 97 89 $7K
31231 157 154 $7K
84443 Thyroid stimulating hormone (TSH) 381 376 $7K
77427 94 52 $7K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 211 167 $6K
G6015 Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session 46 12 $6K
45380 Colonoscopy, flexible; with biopsy, single or multiple 88 87 $6K
99152 1,449 1,370 $6K
76801 94 92 $6K
99443 68 67 $5K
80061 Lipid panel 384 381 $5K
95024 199 196 $5K
0054A 118 118 $5K
20610 195 183 $5K
99442 122 119 $5K
96127 989 971 $5K
77336 175 91 $5K
76700 Ultrasound, abdominal, real time with image documentation; complete 69 66 $4K
90734 315 315 $4K
A9576 Injection, gadoteridol, (prohance multipack), per ml 243 238 $4K
95910 73 72 $4K
74018 340 329 $4K
99201 233 227 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 591 586 $4K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 94 94 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 62 49 $4K
73140 651 588 $4K
71275 Computed tomographic angiography, chest, with contrast material 108 102 $4K
0031A 80 80 $3K
G0297 Low dose ct scan (ldct) for lung cancer screening 43 43 $3K
80305 279 246 $3K
80048 Basic metabolic panel (calcium, ionized) 400 368 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 103 102 $3K
99355 36 36 $3K
96112 40 40 $3K
94729 181 179 $3K
D1206 Topical application of fluoride varnish 204 198 $3K
97802 39 39 $3K
95117 465 313 $3K
0052A 67 67 $3K
99242 57 57 $3K
91200 166 165 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 368 329 $3K
90715 191 190 $3K
J1050 Injection, medroxyprogesterone acetate, 1 mg 38 38 $3K
73030 198 174 $3K
73564 275 229 $3K
95908 69 66 $3K
83036 Hemoglobin; glycosylated (A1C) 273 270 $3K
81001 712 666 $2K
72100 199 197 $2K
42820 Tonsillectomy and adenoidectomy; younger than age 12 13 13 $2K
72110 117 117 $2K
77014 78 12 $2K
88307 41 39 $2K
96113 48 40 $2K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 61 52 $2K
11750 26 24 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 40 39 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 27 27 $2K
73562 137 109 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 182 170 $2K
73130 185 163 $2K
86140 300 286 $2K
72040 143 139 $1K
73502 105 103 $1K
92585 26 26 $1K
77066 Tomosynthesis, mammo 15 13 $1K
94060 67 64 $1K
88304 179 175 $1K
99153 Mod sedat endo service >5yrs 703 675 $1K
90710 91 90 $1K
49083 24 14 $1K
92133 80 79 $1K
36416 453 251 $1K
95816 27 27 $1K
99220 12 12 $1K
90619 53 53 $1K
90696 80 79 $1K
72141 17 12 $1K
88342 70 65 $1K
69210 89 75 $1K
76937 270 245 $1K
85027 160 157 $1K
72197 14 14 $1K
0051A 24 24 $1K
95806 16 16 $1K
99188 70 69 $949.77
0071A 21 21 $942.00
90672 41 41 $932.66
84439 93 93 $918.00
90698 61 61 $879.65
95911 13 13 $850.85
90707 56 54 $845.02
90716 55 53 $844.07
71250 29 24 $835.50
0064A 19 19 $832.80
99231 Subsequent hospital care, per day, straightforward or low complexity 66 37 $821.37
31575 25 25 $817.32
84702 48 33 $772.80
85652 254 248 $769.30
90685 65 64 $758.21
87807 59 58 $756.38
92555 40 40 $737.14
90970 37 26 $723.74
V5266 Battery for use in hearing device 32 28 $715.22
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 144 136 $674.65
T1015 Clinic visit/encounter, all-inclusive 7,806 7,050 $650.42
94726 42 42 $648.00
11100 32 26 $637.65
99441 25 25 $629.80
90935 Hemodialysis procedure with single evaluation by a physician 26 14 $629.35
90700 38 38 $603.86
81003 233 229 $575.10
0072A 13 13 $565.00
76870 15 13 $545.84
11102 14 13 $525.61
92582 12 12 $445.42
73100 65 40 $411.13
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 12 12 $409.33
99217 15 14 $409.18
99347 18 12 $388.47
77063 Screening digital breast tomosynthesis, bilateral 4,516 4,489 $385.27
92552 14 14 $383.26
11721 41 39 $358.97
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 67 62 $345.55
87210 67 67 $334.29
95819 13 13 $332.71
73600 71 55 $327.10
73120 34 18 $281.15
J1885 Injection, ketorolac tromethamine, per 15 mg 165 160 $280.61
85007 77 73 $270.27
11720 91 91 $268.37
99348 18 12 $258.79
77080 14 14 $241.88
J7999 Compounded drug, not otherwise classified 15 12 $221.90
93922 12 12 $216.16
73090 15 14 $206.49
83735 28 26 $200.76
73590 13 12 $195.83
93976 15 15 $193.67
85610 42 28 $176.40
72202 15 15 $170.68
73070 15 15 $167.86
93294 28 27 $120.15
83690 15 15 $110.55
82247 20 15 $107.20
J1100 Injection, dexamethasone sodium phosphate, 1 mg 64 61 $97.13
93280 33 31 $93.59
77062 12 12 $80.85
73560 12 12 $69.86
82950 12 12 $60.84
81002 15 15 $43.26
J0696 Injection, ceftriaxone sodium, per 250 mg 14 12 $27.85
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 54 53 $6.82
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 15 14 $2.01
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 17 17 $0.00
91303 87 87 $0.00
91301 559 531 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,567 2,204 $0.00
91300 5,283 4,788 $0.00
G0444 Annual depression screening, 5 to 15 minutes 38 38 $0.00
99334 14 13 $0.00