Prudent Medical Providers NW

Prudent Medical Providers NW was paid $260K by Medicaid between Sep 2021 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.

33Billing provider infoPRUDENT MEDICAL PROVIDERS NW
FEDERAL WAY, WA 98003

33aNPI1699364455assigned 01/15/2021

33bProvider typePhysician Assistant

28Total paid$260K

24GClaims8,025

24DCodes billed25

24AFirst – last monthSep 2021 – Dec 2024

Compared with peers

Next to other Physician Assistant providers in Washington

Rank by total paid#21 of 42

Median peer was paid$110K

This provider vs. median2.4×

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.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	25%	1,408	1,222	$65K
99350	Prolong home eval add 15m	21%	1,173	995	$55K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	17%	958	932	$45K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	12%	372	331	$31K
99349		5.9%	305	288	$15K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.1%	331	301	$13K
99336		3.2%	1,147	896	$8K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	2.6%	470	415	$7K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.0%	55	53	$5K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	1.7%	637	567	$4K
87428		1.2%	109	101	$3K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	56	51	$1K

13 more codes

99326		<1%	118	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	46	$1K
99348		<1%	37	$1K
36415	Collection of venous blood by venipuncture	<1%	263	$954.92
99335		<1%	105	$288.00
99327		<1%	12	$222.50
80305		<1%	13	$122.30
99497		<1%	46	$8.06
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	0%	66	$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)	0%	53	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	163	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	42	$0.00
99491	Ccm add 20min	0%	40	$0.00

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.

From NPPES

Who's on the registration

Authorized officialDICE, KRISTYN (CONTRACTING MANAGER)