Medicaid Provider Spending

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

UMBRELLA PEDIATRICS PC

NPI: 1720772387 · MOUNTLAKE TERRACE, WA 98043 · Pediatrics Physician · NPI assigned 06/06/2023

$90K
Total Medicaid Paid
1,859
Total Claims
1,755
Beneficiaries
15
Codes Billed
2024-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialVANDERWERFF, SUZANNE (VP REV CYCLE & HEALTH INFO INTEG)
NPI Enumeration Date06/06/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,859 $90K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 546 522 $43K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 320 303 $35K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 273 271 $6K
96127 179 172 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12 12 $1K
90472 Immunization administration, each additional vaccine (list separately) 73 41 $971.68
96110 Developmental screening, with scoring and documentation, per standardized instrument 95 80 $641.01
90480 29 29 $637.18
99499 26 26 $509.46
99429 27 27 $475.58
90656 130 129 $358.38
91321 24 24 $52.40
99177 15 15 $46.77
99173 13 13 $17.96
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) 97 91 $0.00