Behavioral
Sea Mar Community Health Centers
Sea Mar Community Health Centers was paid $5.76M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoSEA MAR COMMUNITY HEALTH CENTERS
TACOMA, WA 98405
TACOMA, WA 98405
33aNPI1710035100assigned 01/08/2007
33bProvider typeCounselor
28Total paid$5.76M
24GClaims52,245
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Counselor providers in Washington
Rank by total paid#1 of 74
Median peer was paid$57K
This provider vs. median101×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RIOJAS, ROGELIO controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 40,307 | $4.88M | |
| 2019 | 2,978 | $242K | |
| 2020 | 1,305 | $72K | |
| 2021 | 1,703 | $107K | |
| 2022 | 1,439 | $98K | |
| 2023 | 3,361 | $259K | |
| 2024incomplete | 1,152 | $99K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 86% | 12,487 | 5,663 | $4.93M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.8% | 6,142 | 4,206 | $333K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.0% | 8,652 | 4,931 | $172K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.1% | 2,720 | 1,868 | $119K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 1,449 | 1,376 | $66K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,647 | 1,538 | $48K |
| 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 | <1% | 583 | 546 | $30K |
| H0046 | Mental health services, not otherwise specified | <1% | 1,750 | 1,727 | $12K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 1,010 | 349 | $11K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 123 | 121 | $10K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,170 | 479 | $7K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 27 | 26 | $4K |
13 more codes
| 99442 | <1% | 77 | $4K | |
| Q3014 | Telehealth originating site facility fee | <1% | 113 | $3K |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 547 | $1K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 320 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $559.17 |
| 99441 | <1% | 13 | $466.18 | |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 0% | 8,667 | $0.00 |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 0% | 145 | $0.00 |
| H0001 | Alcohol and/or drug assessment | 0% | 182 | $0.00 |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 0% | 301 | $0.00 |
| 96153 | 0% | 2,972 | $0.00 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 31 | $0.00 |
| H0031 | Mental health assessment, by non-physician | 0% | 1,104 | $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 officialRIOJAS, ROGELIO (CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.