Clinic
Pediatric Associates of Whidbey Island, PS
Pediatric Associates of Whidbey Island, PS was paid $5.04M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 55% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES OF WHIDBEY ISLAND, PS
OAK HARBOR, WA 98277
OAK HARBOR, WA 98277
33aNPI1770700072assigned 04/19/2007
33bProvider typeRural Health Clinic/Center
28Total paid$5.04M
24GClaims86,813
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Washington
Rank by total paid#13 of 90
Median peer was paid$925K
This provider vs. median5.4×
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 | 12,967 | $655K | |
| 2019 | 14,232 | $762K | |
| 2020 | 11,825 | $706K | |
| 2021 | 12,392 | $768K | |
| 2022 | 14,380 | $876K | |
| 2023 | 12,918 | $729K | |
| 2024incomplete | 8,099 | $540K |
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 | 55% | 40,876 | 36,851 | $2.76M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 16,313 | 15,169 | $1.01M |
| 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 | 14% | 7,978 | 7,441 | $698K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 1,977 | 1,932 | $170K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.4% | 1,480 | 1,425 | $120K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 1,159 | 1,135 | $99K |
| 90686 | <1% | 4,476 | 4,416 | $48K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 282 | 275 | $26K |
| 96127 | <1% | 5,244 | 4,387 | $19K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 234 | 223 | $8K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 61 | 57 | $8K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 84 | 63 | $8K |
35 more codes
| 90480 | <1% | 214 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 448 | $6K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 129 | $5K |
| 0072A | <1% | 118 | $5K | |
| 0071A | <1% | 105 | $4K | |
| 99177 | <1% | 939 | $4K | |
| 90670 | <1% | 445 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 579 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 91 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 175 | $3K |
| 90688 | <1% | 272 | $2K | |
| 91321 | <1% | 94 | $2K | |
| 90651 | <1% | 134 | $1K | |
| 90685 | <1% | 137 | $1K | |
| 90647 | <1% | 140 | $1K | |
| 90633 | <1% | 136 | $1K | |
| 90680 | <1% | 115 | $1K | |
| 90723 | <1% | 115 | $989.42 | |
| 91322 | <1% | 39 | $764.20 | |
| 99173 | <1% | 427 | $620.08 | |
| 96161 | <1% | 264 | $599.46 | |
| 0074A | <1% | 14 | $560.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 97 | $441.49 |
| 90716 | <1% | 38 | $288.08 | |
| 90656 | <1% | 76 | $282.10 | |
| 90697 | <1% | 26 | $209.00 | |
| 90734 | <1% | 13 | $118.60 | |
| 90671 | <1% | 14 | $100.79 | |
| 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% | 293 | $40.00 |
| 96160 | <1% | 33 | $38.58 | |
| 85018 | <1% | 15 | $29.76 | |
| 36416 | <1% | 15 | $28.30 | |
| 99072 | 0% | 821 | $0.00 | |
| 99070 | 0% | 52 | $0.00 | |
| 90667 | 0% | 26 | $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 officialNAGEL, MOLLY (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Associates of Whidbey Island, PS | Freeland, WA | $164K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.