Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Optum Care Washington PLLC

Optum Care Washington PLLC was paid $19.52M by Medicaid between Jan 2018 and Dec 2024, across 219 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.

33Billing provider infoOPTUM CARE WASHINGTON PLLC
EVERETT, WA 98201
33aNPI1831186766assigned 10/05/2005
33bProvider typeFamily Medicine Physician
28Total paid$19.52M
24GClaims454,799
24DCodes billed219
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Washington

Rank by total paid#11 of 347
Median peer was paid$53K
This provider vs. median369×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201861,812$2.81M
201953,168$2.48M
202037,817$1.66M
202176,609$3.05M
202295,718$4.04M
202374,301$3.04M
2024incomplete55,374$2.43M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 43% 146,833 141,846 $8.33M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23% 85,590 82,761 $4.47M
J0585 Injection, onabotulinumtoxina, 1 unit 5.5% 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 5.1% 15,566 15,073 $992K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.1% 8,495 8,437 $799K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.7% 5,721 5,694 $530K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.1% 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 1.6% 7,508 7,406 $311K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.3% 4,551 4,209 $261K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.1% 10,619 6,965 $216K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1.1% 4,672 3,950 $205K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 2,170 2,136 $152K
207 more codes
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 3,521 $129K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 3,138 $128K
J9271 Injection, pembrolizumab, 1 mg <1% 16 $112K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,069 $107K
90686 <1% 5,930 $91K
99203 Doctor's office visit, new patient (routine) <1% 1,535 $79K
36415 Collection of venous blood by venipuncture <1% 31,175 $75K
64615 <1% 1,179 $71K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 812 $64K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 912 $57K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 9,155 $43K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,176 $42K
80053 Comprehensive metabolic panel <1% 7,249 $41K
99493 <1% 270 $35K
J2469 Injection, palonosetron hcl, 25 mcg <1% 550 $33K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 10,731 $32K
77067 Screening mammography, bilateral, including computer-aided detection <1% 573 $31K
90674 <1% 1,215 $28K
71046 Radiologic examination, chest; 2 views <1% 2,114 $27K
90670 <1% 1,968 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 658 $25K
77063 Screening digital breast tomosynthesis, bilateral <1% 573 $24K
96367 <1% 1,653 $23K
90688 <1% 1,920 $22K
73630 <1% 1,519 $20K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 487 $20K
92567 <1% 2,931 $19K
59025 Fetal non-stress test <1% 669 $17K
80061 Lipid panel <1% 2,071 $14K
0012A <1% 359 $12K
92557 <1% 825 $12K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 613 $12K
92134 <1% 1,825 $11K
0011A <1% 354 $10K
90698 <1% 711 $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 <1% 5,977 $10K
90834 Psychotherapy session, about 45 minutes <1% 399 $9K
90472 Immunization administration, each additional vaccine (list separately) <1% 389 $9K
83036 Hemoglobin; glycosylated (A1C) <1% 2,643 $8K
0071A <1% 227 $8K
67028 Intravitreal injection of a pharmacologic agent <1% 692 $8K
11721 <1% 1,331 $8K
84443 Thyroid stimulating hormone (TSH) <1% 865 $7K
0001A <1% 195 $7K
0072A <1% 182 $7K
80050 General health panel <1% 238 $7K
99244 Office or other outpatient consultation, moderate to high complexity <1% 64 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,635 $6K
0002A <1% 159 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 869 $6K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 407 $6K
90680 <1% 367 $5K
0064A <1% 216 $5K
0003A <1% 169 $5K
96900 <1% 572 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 120 $5K
95117 <1% 694 $4K
99243 <1% 51 $4K
83970 <1% 347 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 108 $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) <1% 471 $3K
90656 <1% 303 $3K
95886 <1% 68 $3K
99205 Prolong outpt/office vis <1% 53 $3K
97161 <1% 71 $3K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 59 $3K
85027 <1% 929 $3K
99494 <1% 29 $3K
92201 <1% 851 $3K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 93 $3K
93971 <1% 51 $2K
90633 <1% 204 $2K
86140 <1% 808 $2K
90677 <1% 131 $2K
92083 <1% 153 $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) <1% 564 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 94 $2K
J2785 Injection, regadenoson, 0.1 mg <1% 18 $2K
92551 <1% 325 $2K
90685 <1% 141 $2K
92226 <1% 521 $2K
84439 <1% 317 $2K
96375 Therapeutic injection; each additional sequential IV push <1% 244 $2K
D0120 Dental checkup, returning patient <1% 101 $2K
96127 <1% 215 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 12 $2K
90480 <1% 50 $2K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 15 $2K
90744 <1% 125 $2K
D9999 Unspecified adjunctive procedure, by report <1% 89 $2K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 18 $2K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 27 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 224 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 224 $1K
74018 <1% 95 $1K
90651 <1% 107 $1K
D1208 Topical application of fluoride, excluding varnish <1% 92 $1K
80048 Basic metabolic panel (calcium, ionized) <1% 286 $1K
99232 Hospital visit by a doctor, follow-up day <1% 40 $1K
99242 <1% 25 $1K
73610 <1% 77 $1K
86780 <1% 112 $1K
92133 <1% 141 $1K
73110 <1% 55 $1K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 51 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 31 $956.95
94729 <1% 66 $945.67
86803 <1% 72 $913.84
80069 <1% 455 $908.94
82728 <1% 166 $893.40
20610 <1% 61 $849.68
82570 <1% 557 $841.87
93015 <1% 45 $839.37
77080 <1% 136 $812.85
73140 <1% 39 $772.15
81513 <1% 13 $743.32
31575 <1% 14 $733.17
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 936 $731.32
73030 <1% 62 $725.97
85651 <1% 284 $721.61
90832 Psychotherapy session, about 30 minutes <1% 15 $710.50
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 13 $709.28
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 31 $695.20
84466 <1% 127 $676.45
94010 <1% 91 $667.95
83735 <1% 266 $650.37
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 13 $630.14
92579 <1% 25 $630.04
94760 <1% 3,459 $620.38
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 24 $586.32
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 52 $566.50
95115 <1% 110 $530.40
94727 <1% 53 $525.43
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 13 $516.98
99417 Prolong home eval add 15m <1% 12 $502.60
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 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) <1% 17 $474.43
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 12 $459.24
29125 <1% 18 $448.75
43235 <1% 12 $441.59
71250 <1% 13 $436.19
87653 <1% 12 $419.04
73130 <1% 29 $412.39
94060 <1% 41 $394.75
93296 <1% 158 $379.83
87481 <1% 26 $379.20
84156 <1% 382 $375.65
99233 Hospital visit by a doctor, follow-up day (complex) <1% 18 $371.36
90853 Group psychotherapy (other than of a multiple-family group) <1% 26 $364.83
83540 <1% 140 $360.04
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 66 $359.53
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 12 $356.18
81001 <1% 265 $352.45
99499 <1% 12 $341.17
99421 <1% 45 $338.67
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 25 $338.25
82043 <1% 151 $336.25
99429 <1% 12 $319.40
84100 <1% 165 $314.18
92587 <1% 26 $306.70
1036F <1% 8,067 $284.74
90734 <1% 31 $283.03
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 13 $264.72
73502 <1% 14 $241.89
72100 <1% 13 $241.19
82607 <1% 51 $227.79
J1030 Injection, methylprednisolone acetate, 40 mg <1% 53 $208.87
84550 <1% 153 $199.02
73564 <1% 13 $197.96
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 13 $189.60
36591 <1% 13 $186.16
92504 <1% 14 $175.70
J7999 Compounded drug, not otherwise classified <1% 108 $166.90
87808 <1% 12 $148.83
93294 <1% 40 $112.46
69210 <1% 12 $102.21
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 24 $91.31
81002 <1% 44 $80.64
87081 <1% 12 $72.49
87086 Culture, bacterial; quantitative colony count, urine <1% 52 $71.78
90715 <1% 12 $71.52
80076 <1% 13 $65.12
85652 <1% 44 $62.88
85014 <1% 36 $55.42
85018 <1% 36 $55.42
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 204 $53.04
87210 <1% 12 $53.02
99490 Ccm add 20min <1% 13 $49.03
92136 <1% 27 $45.36
A4649 Surgical supply; miscellaneous <1% 53 $22.90
82947 <1% 12 $11.73
G0008 Administration of influenza virus vaccine <1% 79 $4.29
1160F 0% 2,169 $0.00
1159F 0% 2,873 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 1,194 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 953 $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 0% 72 $0.00
90682 0% 38 $0.00
3288F 0% 28 $0.00
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 0% 28 $0.00
1158F 0% 14 $0.00
1170F 0% 41 $0.00
1111F 0% 54 $0.00
1157F 0% 13 $0.00
36000 0% 56 $0.00
1125F 0% 34 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 12 $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 officialGO, GEORGE (BOARD PRESIDENT)
Parent organizationEVERETT PHYSICIANS, INC. P.S.
Same official

Other billing entities under GO, GEORGE

Full network →
ProviderLocationPaid
Optum Care Washington PLLCEverett, WA$937K
Optum Care Washington PLLCEdmonds, WA$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.