SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
NPI: 1851397426
· SUNNYSIDE, WA 98944
· Registered Nurse
· NPI assigned 06/28/2005
$1.47M
Total Medicaid Paid
Provider Details
| Authorized Official | OWENS, MAXWELL (CFO) |
| NPI Enumeration Date | 06/28/2005 |
Related Entities
Other providers sharing the same authorized official: OWENS, MAXWELL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,315 |
$151K |
| 2019 |
964 |
$87K |
| 2020 |
344 |
$30K |
| 2023 |
1,239 |
$183K |
| 2024 |
7,093 |
$1.02M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,245 |
4,933 |
$1.17M |
| 99214 |
|
1,762 |
1,550 |
$112K |
| 99213 |
|
1,589 |
1,435 |
$87K |
| 99203 |
|
812 |
801 |
$54K |
| 99204 |
|
141 |
139 |
$13K |
| 99205 |
Prolong outpt/office vis |
95 |
95 |
$11K |
| 87811 |
|
274 |
266 |
$9K |
| 99202 |
|
168 |
167 |
$7K |
| 99215 |
Prolong outpt/office vis |
53 |
51 |
$6K |
| 99212 |
|
78 |
75 |
$3K |
| 95251 |
|
48 |
46 |
$799.44 |
| 87880 |
|
44 |
44 |
$577.80 |
| 87804 |
|
39 |
36 |
$452.79 |
| 96372 |
|
21 |
18 |
$184.60 |
| 81002 |
|
30 |
30 |
$91.28 |
| 94640 |
|
13 |
13 |
$49.50 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
21 |
18 |
$23.29 |
| 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) |
522 |
483 |
$0.00 |