PINE FAMILY PRACTICE LLC
NPI: 1770063968
· SUNNYSIDE, WA 98944
· Physician Assistant
· NPI assigned 08/16/2018
$110K
Total Medicaid Paid
Provider Details
| Authorized Official | PINE, MARY (OWNER/PROVIDER) |
| NPI Enumeration Date | 08/16/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
279 |
$5K |
| 2021 |
1,084 |
$26K |
| 2022 |
1,089 |
$26K |
| 2023 |
1,223 |
$32K |
| 2024 |
1,078 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,090 |
1,720 |
$78K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
937 |
842 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,096 |
944 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
456 |
411 |
$1K |
| 99442 |
|
12 |
12 |
$653.34 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
129 |
91 |
$194.77 |
| 90688 |
|
15 |
13 |
$166.45 |
| 81002 |
|
18 |
13 |
$62.46 |