Sea Mar Community Health Centers
Sea Mar Community Health Centers was paid $157K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
CONCRETE, WA 98237
Next to other Family Medicine Physician providers in Washington
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,126 | $21K | |
| 2019 | 1,091 | $20K | |
| 2020 | 590 | $10K | |
| 2021 | 909 | $21K | |
| 2022 | 1,088 | $27K | |
| 2023 | 1,735 | $38K | |
| 2024incomplete | 2,753 | $22K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 52% | 3,014 | 2,648 | $82K |
| 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 | 25% | 1,125 | 1,014 | $39K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 10% | 1,960 | 1,553 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.0% | 769 | 666 | $11K |
| 90677 | 2.0% | 12 | 12 | $3K | |
| 80061 | Lipid panel | <1% | 198 | 195 | $1K |
| 90686 | <1% | 134 | 128 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 150 | 145 | $841.11 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 28 | 28 | $829.55 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 42 | 42 | $589.60 |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | <1% | 19 | 19 | $275.79 |
| 81002 | <1% | 84 | 81 | $167.14 |
9 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 39 | $153.60 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $95.20 |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | $27.17 |
| 3078F | 0% | 663 | $0.00 | |
| 1159F | 0% | 284 | $0.00 | |
| 1160F | 0% | 35 | $0.00 | |
| 3074F | 0% | 537 | $0.00 | |
| 3075F | 0% | 107 | $0.00 | |
| 3044F | 0% | 65 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.