Physician
Franciscan Medical Group
Franciscan Medical Group was paid $7.67M by Medicaid between Jan 2018 and Dec 2024, across 96 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoFRANCISCAN MEDICAL GROUP
SILVERDALE, WA 98383
SILVERDALE, WA 98383
33aNPI1710432612assigned 08/20/2016
33bProvider typeInternal Medicine Physician
28Total paid$7.67M
24GClaims153,297
24DCodes billed96
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Washington
Rank by total paid#5 of 155
Median peer was paid$14K
This provider vs. median530×
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 | |
|---|---|---|---|
| 2018 | 17,927 | $720K | |
| 2019 | 19,111 | $891K | |
| 2020 | 17,797 | $776K | |
| 2021 | 23,479 | $1.10M | |
| 2022 | 25,951 | $1.50M | |
| 2023 | 25,626 | $1.48M | |
| 2024incomplete | 23,406 | $1.20M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 44,484 | 41,919 | $2.46M |
| 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 | 26% | 32,137 | 30,709 | $1.96M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 9,132 | 8,564 | $847K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.9% | 6,706 | 6,673 | $681K |
| 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 | 4.4% | 4,043 | 3,970 | $340K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.4% | 4,086 | 3,974 | $264K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.4% | 1,638 | 1,263 | $108K |
| 90686 | 1.2% | 5,535 | 5,494 | $95K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.2% | 3,140 | 1,394 | $91K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 1.1% | 94 | 75 | $82K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 821 | 818 | $82K |
| 90670 | <1% | 4,167 | 4,137 | $64K |
84 more codes
| 90680 | <1% | 3,522 | $54K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 726 | $32K |
| 90671 | <1% | 1,772 | $30K | |
| 90697 | <1% | 1,533 | $27K | |
| 99243 | <1% | 339 | $27K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 202 | $24K |
| 92551 | <1% | 2,883 | $22K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 997 | $22K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 794 | $22K |
| 95117 | <1% | 3,089 | $22K | |
| 90723 | <1% | 1,555 | $22K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 415 | $21K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,366 | $19K |
| 90647 | <1% | 1,164 | $16K | |
| 93970 | <1% | 170 | $16K | |
| 90633 | <1% | 860 | $14K | |
| 92567 | <1% | 1,446 | $13K | |
| 92557 | <1% | 621 | $12K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 204 | $12K |
| 31575 | <1% | 209 | $12K | |
| 90648 | <1% | 854 | $12K | |
| 69210 | <1% | 620 | $11K | |
| 92015 | Determination of refractive state | <1% | 1,066 | $9K |
| 59025 | Fetal non-stress test | <1% | 200 | $9K |
| 95115 | <1% | 1,200 | $7K | |
| 95885 | <1% | 156 | $7K | |
| 90698 | <1% | 548 | $6K | |
| 64615 | <1% | 75 | $6K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 108 | $6K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 128 | $5K |
| 90480 | <1% | 138 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 303 | $5K |
| 93971 | <1% | 64 | $5K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 139 | $5K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 59 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,651 | $4K |
| 64483 | <1% | 56 | $4K | |
| 99173 | <1% | 1,822 | $3K | |
| 90685 | <1% | 221 | $3K | |
| 90744 | <1% | 228 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 166 | $3K |
| 31231 | <1% | 26 | $2K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 524 | $2K |
| 90473 | <1% | 106 | $2K | |
| 90688 | <1% | 149 | $2K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 176 | $2K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 73 | $2K |
| 95910 | <1% | 12 | $1K | |
| 94375 | <1% | 66 | $1K | |
| 0081A | <1% | 31 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 153 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $1K |
| 73630 | <1% | 82 | $1K | |
| 36416 | <1% | 196 | $1K | |
| 73610 | <1% | 76 | $1K | |
| 90656 | <1% | 379 | $1K | |
| 95012 | <1% | 105 | $1K | |
| 81003 | <1% | 632 | $1K | |
| 95816 | <1% | 25 | $840.97 | |
| 90682 | <1% | 12 | $832.41 | |
| 95908 | <1% | 16 | $814.25 | |
| 95251 | <1% | 48 | $698.11 | |
| 0082A | <1% | 14 | $620.00 | |
| 90710 | <1% | 41 | $595.97 | |
| 0071A | <1% | 13 | $581.20 | |
| 0072A | <1% | 13 | $581.20 | |
| 96161 | <1% | 219 | $564.03 | |
| 64493 | <1% | 14 | $549.46 | |
| 73130 | <1% | 42 | $543.56 | |
| 51798 | <1% | 102 | $445.59 | |
| 90700 | <1% | 29 | $436.30 | |
| 92083 | <1% | 14 | $421.94 | |
| 90696 | <1% | 16 | $327.22 | |
| 91321 | <1% | 90 | $324.94 | |
| 73110 | <1% | 19 | $318.88 | |
| 64494 | <1% | 14 | $312.51 | |
| 90707 | <1% | 12 | $261.06 | |
| 90716 | <1% | 12 | $261.06 | |
| 96380 | <1% | 17 | $209.62 | |
| 73030 | <1% | 16 | $171.08 | |
| 86885 | <1% | 13 | $74.92 | |
| 82950 | <1% | 12 | $72.32 | |
| 96127 | <1% | 12 | $45.29 | |
| 85014 | <1% | 12 | $36.04 |
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 officialNOSACKA, DAVID (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Franciscan Medical Group | Tacoma, WA | $92.98M |
| Franciscan Health System | University Place, WA | $6.38M |
| Franciscan Health System | Tacoma, WA | $2.66M |
| Franciscan Medical Group | Silverdale, WA | $171K |
| Franciscan Medical Group | Tacoma, WA | $44K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.