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

SHC Medical Center Toppenish

SHC Medical Center Toppenish was paid $15.10M by Medicaid between Jan 2018 and Dec 2024, across 239 billing codes. Its largest line is 99283, emergency room visit (moderate) — 28% of everything it billed.

33Billing provider infoSHC MEDICAL CENTER TOPPENISH
TOPPENISH, WA 98948
33aNPI1851817308assigned 08/16/2017
28Total paid$15.10M
24GClaims476,767
24DCodes billed239
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Washington

Rank by total paid#4 of 31
Median peer was paid$338K
This provider vs. median45×

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.

Entity ProliferationAuthorized official MATHIESEN, MATHEW controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
201867,787$2.07M
201965,935$2.05M
202062,631$1.83M
202168,932$2.67M
202273,697$2.18M
202375,493$2.20M
2024incomplete62,292$2.09M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 28% 35,788 33,294 $4.17M
96361 Intravenous infusion, hydration; each additional hour 18% 9,152 7,586 $2.74M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 14% 22,541 20,619 $2.05M
99282 Emergency department visit for the evaluation and management, low to moderate severity 5.1% 7,292 6,992 $772K
74177 Computed tomography, abdomen and pelvis; with contrast material 4.0% 3,381 3,223 $605K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.6% 7,839 7,189 $550K
70450 Computed tomography, head or brain; without contrast material 3.1% 3,063 2,913 $466K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.7% 4,872 3,847 $410K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2.2% 2,473 2,326 $336K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.7% 1,336 1,302 $260K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.4% 1,698 1,657 $215K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.3% 1,155 1,094 $199K
227 more codes
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1.2% 697 $182K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1.1% 1,141 $171K
76705 Ultrasound, abdominal, real time with image documentation; limited 1.1% 1,871 $161K
80053 Comprehensive metabolic panel <1% 23,731 $122K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,664 $115K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 896 $109K
59025 Fetal non-stress test <1% 780 $108K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 3,589 $94K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,187 $92K
12001 <1% 354 $68K
76830 Ultrasound, transvaginal <1% 901 $67K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 526 $55K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,054 $50K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,370 $49K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 1,444 $49K
36415 Collection of venous blood by venipuncture <1% 26,353 $34K
71046 Radiologic examination, chest; 2 views <1% 4,903 $29K
73630 <1% 1,256 $26K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 112 $25K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,215 $25K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 27,166 $25K
64721 <1% 40 $25K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,197 $24K
84484 <1% 5,777 $24K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 463 $23K
G0378 Hospital observation service, per hour <1% 1,477 $21K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,756 $20K
73562 <1% 1,240 $20K
80048 Basic metabolic panel (calcium, ionized) <1% 3,353 $19K
72100 <1% 897 $18K
83605 <1% 2,917 $17K
76642 <1% 211 $17K
80050 General health panel <1% 2,733 $16K
83880 <1% 3,244 $15K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 25 $14K
73610 <1% 1,228 $14K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 9,093 $14K
87040 <1% 2,109 $14K
84443 Thyroid stimulating hormone (TSH) <1% 1,827 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 279 $13K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 706 $13K
73030 <1% 1,012 $13K
80306 <1% 5,870 $13K
80061 Lipid panel <1% 2,968 $13K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,308 $12K
90714 <1% 778 $12K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 260 $12K
72125 Computed tomography, cervical spine; without contrast material <1% 642 $12K
76801 <1% 215 $12K
82247 <1% 1,444 $12K
73110 <1% 514 $10K
84439 <1% 1,029 $9K
83036 Hemoglobin; glycosylated (A1C) <1% 1,988 $9K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 4,535 $9K
73130 <1% 620 $8K
85379 <1% 1,256 $8K
76536 <1% 97 $8K
84145 <1% 801 $8K
99460 <1% 90 $7K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 144 $6K
87086 Culture, bacterial; quantitative colony count, urine <1% 6,790 $6K
99238 Hospital discharge day management, 30 minutes or less <1% 103 $5K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 69 $5K
71045 Radiologic examination, chest; single view <1% 4,806 $5K
74018 <1% 941 $4K
97161 <1% 96 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,715 $4K
86140 <1% 1,835 $4K
82607 <1% 294 $3K
73140 <1% 349 $3K
12011 <1% 13 $3K
81001 <1% 14,397 $3K
71275 Computed tomographic angiography, chest, with contrast material <1% 12 $3K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 3,353 $3K
84702 <1% 1,554 $3K
76870 <1% 27 $3K
72040 <1% 87 $3K
85652 <1% 996 $2K
82248 <1% 464 $2K
0002A <1% 64 $2K
86780 <1% 174 $2K
73502 <1% 172 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 56 $2K
96367 <1% 135 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 29 $2K
83735 <1% 4,971 $2K
83690 <1% 7,595 $2K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 13 $2K
87186 <1% 3,231 $2K
87522 Neg quan hep c or qual rna <1% 133 $2K
87070 <1% 1,184 $2K
81025 <1% 5,733 $2K
87081 <1% 5,171 $1K
76641 <1% 16 $1K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 9,563 $1K
70486 <1% 54 $1K
73080 <1% 68 $1K
85610 <1% 3,698 $1K
0001A <1% 66 $1K
85027 <1% 330 $1K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 33 $1K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 108 $979.40
81003 <1% 2,738 $935.50
J3490 Unclassified drugs <1% 118 $925.97
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 7,961 $915.46
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 5,034 $907.92
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 319 $884.02
83550 <1% 138 $879.91
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 29 $844.13
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 12 $844.11
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 838 $829.69
87807 <1% 1,312 $782.25
0012A <1% 25 $741.66
87077 <1% 1,044 $727.66
87205 <1% 1,427 $698.66
82728 <1% 134 $687.27
96375 Therapeutic injection; each additional sequential IV push <1% 8,026 $685.99
86900 <1% 668 $655.16
84703 <1% 1,799 $612.80
80076 <1% 120 $609.85
86803 <1% 228 $606.11
82150 <1% 1,841 $589.93
87088 <1% 1,317 $578.71
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 38 $557.84
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 4,705 $549.34
86038 <1% 88 $548.26
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed <1% 14 $439.44
72070 <1% 14 $418.10
83540 <1% 139 $409.55
86704 <1% 76 $319.20
73090 <1% 14 $276.78
85730 <1% 2,195 $254.13
96376 <1% 2,429 $252.86
87147 <1% 938 $246.18
80074 <1% 73 $228.89
86901 <1% 626 $222.38
86141 <1% 44 $207.93
0011A <1% 12 $200.00
87340 <1% 44 $193.17
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,472 $182.41
97035 <1% 24 $157.47
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,127 $144.28
86708 <1% 27 $136.05
86706 <1% 27 $136.05
86701 <1% 56 $128.50
86850 <1% 72 $121.80
J7030 Infusion, normal saline solution , 1000 cc <1% 7,307 $113.99
86317 <1% 13 $111.50
83615 <1% 244 $105.57
82570 <1% 14 $85.53
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,822 $84.05
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 9,254 $80.38
86702 <1% 56 $78.32
J7050 Infusion, normal saline solution, 250 cc <1% 5,111 $74.00
84153 <1% 13 $72.95
85651 <1% 87 $65.81
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,007 $60.56
82140 <1% 85 $58.87
73590 <1% 12 $51.13
86200 <1% 12 $41.88
82550 <1% 88 $38.09
84550 <1% 13 $32.96
82043 <1% 12 $29.66
81015 <1% 36 $27.35
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 637 $23.08
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,945 $15.09
J1170 Injection, hydromorphone, up to 4 mg <1% 3,206 $13.81
88342 <1% 223 $13.34
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 7,365 $13.18
87075 <1% 13 $12.84
J2060 Injection, lorazepam, 2 mg <1% 1,323 $10.91
82077 <1% 194 $8.11
81002 <1% 319 $7.54
J7120 Ringers lactate infusion, up to 1000 cc <1% 4,842 $2.50
J1200 Injection, diphenhydramine hcl, up to 50 mg 0% 1,717 $0.00
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 0% 368 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 1,801 $0.00
99152 0% 689 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 209 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 67 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 384 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 1,903 $0.00
80179 0% 38 $0.00
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 0% 49 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 155 $0.00
J7510 Prednisolone oral, per 5 mg 0% 70 $0.00
85014 0% 29 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 40 $0.00
80143 0% 41 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 34 $0.00
J7070 Infusion, d5w, 1000 cc 0% 14 $0.00
29125 0% 15 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 106 $0.00
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) 0% 47 $0.00
S0164 Injection, pantoprazole sodium, 40 mg 0% 34 $0.00
J0737 Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg 0% 18 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 466 $0.00
A9270 Non-covered item or service 0% 1,897 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 267 $0.00
J2704 Injection, propofol, 10 mg 0% 3,252 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 0% 1,135 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 3,199 $0.00
82803 0% 45 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 3,842 $0.00
71101 0% 13 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 350 $0.00
74019 0% 12 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 277 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 0% 280 $0.00
94761 0% 307 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 142 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 80 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 198 $0.00
94760 0% 539 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 0% 13 $0.00
G0379 Direct admission of patient for hospital observation care 0% 40 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 0% 1,024 $0.00
J7999 Compounded drug, not otherwise classified 0% 270 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 0% 64 $0.00
J2372 Injection, phenylephrine hydrochloride (biorphen), 20 micrograms 0% 12 $0.00
J1815 Injection, insulin, per 5 units 0% 12 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 0% 12 $0.00
80047 0% 14 $0.00
J7626 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg 0% 13 $0.00
80320 0% 62 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 14 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 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 officialMATHIESEN, MATHEW (CFO)
Same official

Other billing entities under MATHIESEN, MATHEW

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