Medicaid Provider Spending

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

PRUDENT MEDICAL PROVIDERS NW

NPI: 1699364455 · FEDERAL WAY, WA 98003 · Physician Assistant · NPI assigned 01/15/2021

$260K
Total Medicaid Paid
8,025
Total Claims
7,013
Beneficiaries
25
Codes Billed
2021-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDICE, KRISTYN (CONTRACTING MANAGER)
NPI Enumeration Date01/15/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 264 $2K
2022 3,482 $40K
2023 2,915 $140K
2024 1,364 $78K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,408 1,222 $65K
99350 Prolong home eval add 15m 1,173 995 $55K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 958 932 $45K
99215 Prolong outpt/office vis 372 331 $31K
99349 305 288 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 331 301 $13K
99336 1,147 896 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 470 415 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 55 53 $5K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 637 567 $4K
87428 109 101 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 56 51 $1K
99326 118 97 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 46 42 $1K
99348 37 36 $1K
36415 Collection of venous blood by venipuncture 263 244 $954.92
99335 105 85 $288.00
99327 12 12 $222.50
80305 13 13 $122.30
99497 46 36 $8.06
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 66 56 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 53 45 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 163 127 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 42 31 $0.00
99491 Ccm add 20min 40 37 $0.00