Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › EVERETT › OPTUM CARE WASHINGTON PLLC

OPTUM CARE WASHINGTON PLLC

NPI: 1831186766 · EVERETT, WA 98201 · Family Medicine Physician · NPI assigned 10/05/2005

$19.52M
Total Medicaid Paid
454,799
Total Claims
428,835
Beneficiaries
219
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGO, GEORGE (BOARD PRESIDENT)
Parent OrganizationEVERETT PHYSICIANS, INC. P.S.
NPI Enumeration Date10/05/2005

Related Entities

Other providers sharing the same authorized official: GO, GEORGE

ProviderCityStateTotal Paid
OPTUM CARE WASHINGTON PLLC EVERETT WA $937K
OPTUM CARE WASHINGTON PLLC EDMONDS WA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 61,812 $2.81M
2019 53,168 $2.48M
2020 37,817 $1.66M
2021 76,609 $3.05M
2022 95,718 $4.04M
2023 74,301 $3.04M
2024 55,374 $2.43M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 146,833 141,846 $8.33M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 85,590 82,761 $4.47M
J0585 Injection, onabotulinumtoxina, 1 unit 1,407 1,239 $1.07M
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 15,566 15,073 $992K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8,495 8,437 $799K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,721 5,694 $530K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,807 4,617 $406K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 7,508 7,406 $311K
99215 Prolong outpt/office vis 4,551 4,209 $261K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 10,619 6,965 $216K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 4,672 3,950 $205K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,170 2,136 $152K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,521 3,442 $129K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,138 3,068 $128K
J9271 Injection, pembrolizumab, 1 mg 16 12 $112K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,069 1,062 $107K
90686 5,930 5,896 $91K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,535 1,518 $79K
36415 Collection of venous blood by venipuncture 31,175 28,329 $75K
64615 1,179 1,164 $71K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 812 810 $64K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 912 900 $57K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,155 7,095 $43K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,176 3,137 $42K
80053 Comprehensive metabolic panel 7,249 6,192 $41K
99493 270 264 $35K
J2469 Injection, palonosetron hcl, 25 mcg 550 453 $33K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 10,731 9,925 $32K
77067 Screening mammography, bilateral, including computer-aided detection 573 570 $31K
90674 1,215 1,203 $28K
71046 Radiologic examination, chest; 2 views 2,114 2,050 $27K
90670 1,968 1,941 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 658 624 $25K
77063 Screening digital breast tomosynthesis, bilateral 573 570 $24K
96367 1,653 1,379 $23K
90688 1,920 1,902 $22K
73630 1,519 1,172 $20K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 487 485 $20K
92567 2,931 2,878 $19K
59025 Fetal non-stress test 669 548 $17K
80061 Lipid panel 2,071 2,029 $14K
0012A 359 358 $12K
92557 825 815 $12K
97530 Therapeutic activities, direct patient contact, each 15 minutes 613 492 $12K
92134 1,825 1,671 $11K
0011A 354 353 $10K
90698 711 698 $10K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 5,977 5,775 $10K
90834 Psychotherapy, 45 minutes with patient 399 273 $9K
90472 Immunization administration, each additional vaccine (list separately) 389 385 $9K
83036 Hemoglobin; glycosylated (A1C) 2,643 2,608 $8K
0071A 227 220 $8K
67028 Intravitreal injection of a pharmacologic agent 692 640 $8K
11721 1,331 1,309 $8K
84443 Thyroid stimulating hormone (TSH) 865 851 $7K
0001A 195 193 $7K
0072A 182 175 $7K
80050 General health panel 238 234 $7K
99244 Office or other outpatient consultation, moderate to high complexity 64 63 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,635 1,401 $6K
0002A 159 159 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument 869 623 $6K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 407 266 $6K
90680 367 363 $5K
0064A 216 216 $5K
0003A 169 164 $5K
96900 572 216 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 120 120 $5K
95117 694 433 $4K
99243 51 51 $4K
83970 347 337 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 108 106 $3K
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) 471 455 $3K
90656 303 301 $3K
95886 68 63 $3K
99205 Prolong outpt/office vis 53 52 $3K
97161 71 70 $3K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 59 46 $3K
85027 929 898 $3K
99494 29 28 $3K
92201 851 789 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 93 93 $3K
93971 51 49 $2K
90633 204 203 $2K
86140 808 801 $2K
90677 131 130 $2K
92083 153 150 $2K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 564 552 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 94 93 $2K
J2785 Injection, regadenoson, 0.1 mg 18 18 $2K
92551 325 322 $2K
90685 141 139 $2K
92226 521 304 $2K
84439 317 311 $2K
96375 Therapeutic injection; each additional sequential IV push 244 204 $2K
D0120 Periodic oral evaluation - established patient 101 101 $2K
96127 215 201 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 12 12 $2K
90480 50 50 $2K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 15 12 $2K
90744 125 124 $2K
D9999 Unspecified adjunctive procedure, by report 89 89 $2K
74177 Computed tomography, abdomen and pelvis; with contrast material 18 18 $2K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 27 27 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 224 214 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 224 219 $1K
74018 95 93 $1K
90651 107 107 $1K
D1208 Topical application of fluoride, excluding varnish 92 91 $1K
80048 Basic metabolic panel (calcium, ionized) 286 273 $1K
99232 Subsequent hospital care, per day, moderate complexity 40 15 $1K
99242 25 24 $1K
73610 77 69 $1K
86780 112 111 $1K
92133 141 140 $1K
73110 55 50 $1K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 51 50 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 31 31 $956.95
94729 66 65 $945.67
86803 72 71 $913.84
80069 455 421 $908.94
82728 166 161 $893.40
20610 61 52 $849.68
82570 557 520 $841.87
93015 45 45 $839.37
77080 136 133 $812.85
73140 39 37 $772.15
81513 13 12 $743.32
31575 14 14 $733.17
J1100 Injection, dexamethasone sodium phosphate, 1 mg 936 790 $731.32
73030 62 56 $725.97
85651 284 283 $721.61
90832 Psychotherapy, 30 minutes with patient 15 12 $710.50
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 13 13 $709.28
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 31 26 $695.20
84466 127 122 $676.45
94010 91 90 $667.95
83735 266 231 $650.37
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 13 13 $630.14
92579 25 25 $630.04
94760 3,459 3,327 $620.38
45380 Colonoscopy, flexible; with biopsy, single or multiple 24 24 $586.32
A9575 Injection, gadoterate meglumine, 0.1 ml 52 51 $566.50
95115 110 56 $530.40
94727 53 53 $525.43
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 13 13 $516.98
99417 Prolong home eval add 15m 12 12 $502.60
76700 Ultrasound, abdominal, real time with image documentation; complete 13 13 $494.27
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 17 12 $474.43
95810 Polysomnography; sleep staging with 4 or more additional parameters 12 12 $459.24
29125 18 15 $448.75
43235 12 12 $441.59
71250 13 13 $436.19
87653 12 12 $419.04
73130 29 28 $412.39
94060 41 41 $394.75
93296 158 156 $379.83
87481 26 12 $379.20
84156 382 350 $375.65
99233 Prolong inpt eval add15 m 18 13 $371.36
90853 Group psychotherapy (other than of a multiple-family group) 26 12 $364.83
83540 140 135 $360.04
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 66 51 $359.53
71260 Computed tomography, thorax, diagnostic; with contrast material 12 12 $356.18
81001 265 251 $352.45
99499 12 12 $341.17
99421 45 44 $338.67
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 25 25 $338.25
82043 151 149 $336.25
99429 12 12 $319.40
84100 165 144 $314.18
92587 26 26 $306.70
1036F 8,067 7,710 $284.74
90734 31 31 $283.03
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 13 13 $264.72
73502 14 14 $241.89
72100 13 12 $241.19
82607 51 51 $227.79
J1030 Injection, methylprednisolone acetate, 40 mg 53 51 $208.87
84550 153 149 $199.02
73564 13 12 $197.96
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 13 12 $189.60
36591 13 13 $186.16
92504 14 13 $175.70
J7999 Compounded drug, not otherwise classified 108 106 $166.90
87808 12 12 $148.83
93294 40 39 $112.46
69210 12 12 $102.21
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 24 24 $91.31
81002 44 43 $80.64
87081 12 12 $72.49
87086 Culture, bacterial; quantitative colony count, urine 52 50 $71.78
90715 12 12 $71.52
80076 13 12 $65.12
85652 44 43 $62.88
85014 36 36 $55.42
85018 36 36 $55.42
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 204 191 $53.04
87210 12 12 $53.02
99490 Ccm add 20min 13 13 $49.03
92136 27 25 $45.36
A4649 Surgical supply; miscellaneous 53 40 $22.90
82947 12 12 $11.73
G0008 Administration of influenza virus vaccine 79 78 $4.29
1160F 2,169 1,971 $0.00
1159F 2,873 2,606 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,194 1,089 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 953 899 $0.00
G8907 Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility 72 67 $0.00
90682 38 38 $0.00
3288F 28 28 $0.00
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 28 27 $0.00
1158F 14 14 $0.00
1170F 41 41 $0.00
1111F 54 52 $0.00
1157F 13 13 $0.00
36000 56 55 $0.00
1125F 34 33 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 12 12 $0.00