Medicaid Provider Spending

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

SUNNYSIDE FAMILY MEDICINE, PC

NPI: 1780717207 · SUNNYSIDE, WA 98944 · Family Medicine Physician · NPI assigned 03/13/2007

$70K
Total Medicaid Paid
1,960
Total Claims
1,602
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-08
Last Month

Provider Details

Authorized OfficialMEDELEZ, OLGA (RECEPTION/BILLING)
NPI Enumeration Date03/13/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,960 $70K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,045 808 $37K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 659 556 $31K
80305 76 64 $775.19
99215 Prolong outpt/office vis 12 12 $703.62
83036 Hemoglobin; glycosylated (A1C) 66 65 $501.19
36415 Collection of venous blood by venipuncture 89 84 $128.29
81000 13 13 $39.38