Tri-Cities Community Health
Tri-Cities Community Health was paid $17K by Medicaid between Jan 2019 and Nov 2024, across 13 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 59% of everything it billed.
33Billing provider infoTRI-CITIES COMMUNITY HEALTH
PASCO, WA 99301
PASCO, WA 99301
33aNPI1760886535assigned 10/22/2014
33bProvider typeOptometrist
28Total paid$17K
24GClaims1,227
24DCodes billed13
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Optometrist providers in Washington
Rank by total paid#304 of 565
Median peer was paid$23K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2019 | 48 | $0.00 | |
| 2020 | 97 | $3K | |
| 2021 | 509 | $10K | |
| 2022 | 219 | $2K | |
| 2023 | 255 | $781.91 | |
| 2024incomplete | 99 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 59% | 118 | 118 | $10K |
| 92015 | Determination of refractive state | 22% | 340 | 337 | $4K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 16% | 124 | 124 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.5% | 12 | 12 | $613.01 |
| 1036F | 0% | 91 | 86 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 16 | 13 | $0.00 |
| 3074F | 0% | 16 | 15 | $0.00 | |
| 1159F | 0% | 153 | 146 | $0.00 | |
| 1160F | 0% | 217 | 210 | $0.00 | |
| 3078F | 0% | 45 | 43 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 16 | 13 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 15 | 14 | $0.00 |
1 more codes
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 64 | $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 officialNEEDHAM, KRISTY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Tri-Cities Community Health | Pasco, WA | $16.16M |
| Tri-Cities Community Health | Pasco, WA | $13.26M |
| Tri-Cities Community Health | Pasco, WA | $4.65M |
| Tri-Cities Community Health | Kennewick, WA | $85K |
| Tri-Cities Community Health | Richland, WA | $1K |
| Tri-Cities Community Health | Pasco, WA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.