Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › TOPPENISH › SHC MEDICAL CENTER TOPPENISH

SHC MEDICAL CENTER TOPPENISH

NPI: 1851817308 · TOPPENISH, WA 98948 · Multi-Specialty Clinic/Center · NPI assigned 08/16/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MATHIESEN, MATHEW controls 13+ related entities in our dataset. Read more

$15.10M
Total Medicaid Paid
476,767
Total Claims
424,115
Beneficiaries
239
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMATHIESEN, MATHEW (CFO)
NPI Enumeration Date08/16/2017

Related Entities

Other providers sharing the same authorized official: MATHIESEN, MATHEW

ProviderCityStateTotal Paid
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION SUNNYSIDE WA $55.09M
SHC MEDICAL CENTER - YAKIMA YAKIMA WA $6.93M
SHC MEDICAL CENTER TOPPENISH UNION GAP WA $4.99M
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION PROSSER WA $2.35M
SHC MEDICAL CENTER TOPPENISH ZILLAH WA $663K
SHC MEDICAL CENTER TOPPENISH TOPPENISH WA $381K
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION UNION GAP WA $316K
SUNNYSIDE COMMUNITY HOSPITAL YAKIMA WA $51K
SHC MEDICAL CENTER - YAKIMA YAKIMA WA $11K
SUNNYSIDE COMMUNITY HOSPITAL SUNNYSIDE WA $4K
SUNNYSIDE COMMUNITY HOSPITAL SUNNYSIDE WA $860.66
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION YAKIMA WA $839.86
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION UNION GAP WA $696.97

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 67,787 $2.07M
2019 65,935 $2.05M
2020 62,631 $1.83M
2021 68,932 $2.67M
2022 73,697 $2.18M
2023 75,493 $2.20M
2024 62,292 $2.09M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 35,788 33,294 $4.17M
96361 Intravenous infusion, hydration; each additional hour 9,152 7,586 $2.74M
99284 Emergency department visit for the evaluation and management, high severity 22,541 20,619 $2.05M
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,292 6,992 $772K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,381 3,223 $605K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 7,839 7,189 $550K
70450 Computed tomography, head or brain; without contrast material 3,063 2,913 $466K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,872 3,847 $410K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,473 2,326 $336K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,336 1,302 $260K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,698 1,657 $215K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,155 1,094 $199K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 697 676 $182K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,141 768 $171K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,871 1,814 $161K
80053 Comprehensive metabolic panel 23,731 20,460 $122K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,664 1,629 $115K
99281 Emergency department visit for the evaluation and management, self-limited or minor 896 860 $109K
59025 Fetal non-stress test 780 649 $108K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,589 2,946 $94K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,187 465 $92K
12001 354 337 $68K
76830 Ultrasound, transvaginal 901 885 $67K
76700 Ultrasound, abdominal, real time with image documentation; complete 526 515 $55K
77067 Screening mammography, bilateral, including computer-aided detection 2,054 2,035 $50K
77063 Screening digital breast tomosynthesis, bilateral 1,370 1,362 $49K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,444 566 $49K
36415 Collection of venous blood by venipuncture 26,353 22,393 $34K
71046 Radiologic examination, chest; 2 views 4,903 4,690 $29K
73630 1,256 1,147 $26K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 112 110 $25K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,215 1,089 $25K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 27,166 23,160 $25K
64721 40 40 $25K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,197 2,570 $24K
84484 5,777 4,804 $24K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 463 234 $23K
G0378 Hospital observation service, per hour 1,477 750 $21K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,756 1,689 $20K
73562 1,240 1,180 $20K
80048 Basic metabolic panel (calcium, ionized) 3,353 3,018 $19K
72100 897 868 $18K
83605 2,917 2,509 $17K
76642 211 196 $17K
80050 General health panel 2,733 2,647 $16K
83880 3,244 2,944 $15K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 25 25 $14K
73610 1,228 1,151 $14K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,093 8,074 $14K
87040 2,109 1,511 $14K
84443 Thyroid stimulating hormone (TSH) 1,827 1,764 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 279 246 $13K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 706 338 $13K
73030 1,012 942 $13K
80306 5,870 5,479 $13K
80061 Lipid panel 2,968 2,900 $13K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,308 1,283 $12K
90714 778 762 $12K
J0561 Injection, penicillin g benzathine, 100,000 units 260 243 $12K
72125 Computed tomography, cervical spine; without contrast material 642 608 $12K
76801 215 190 $12K
82247 1,444 929 $12K
73110 514 469 $10K
84439 1,029 1,001 $9K
83036 Hemoglobin; glycosylated (A1C) 1,988 1,929 $9K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,535 4,304 $9K
73130 620 579 $8K
85379 1,256 1,179 $8K
76536 97 96 $8K
84145 801 740 $8K
99460 90 89 $7K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 144 138 $6K
87086 Culture, bacterial; quantitative colony count, urine 6,790 6,350 $6K
99238 Hospital discharge day management, 30 minutes or less 103 99 $5K
71260 Computed tomography, thorax, diagnostic; with contrast material 69 66 $5K
71045 Radiologic examination, chest; single view 4,806 4,420 $5K
74018 941 902 $4K
97161 96 94 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,715 1,651 $4K
86140 1,835 1,668 $4K
82607 294 288 $3K
73140 349 334 $3K
12011 13 13 $3K
81001 14,397 13,332 $3K
71275 Computed tomographic angiography, chest, with contrast material 12 12 $3K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 3,353 3,246 $3K
84702 1,554 1,357 $3K
76870 27 27 $3K
72040 87 83 $3K
85652 996 933 $2K
82248 464 368 $2K
0002A 64 63 $2K
86780 174 165 $2K
73502 172 162 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 56 52 $2K
96367 135 111 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 29 29 $2K
83735 4,971 4,260 $2K
83690 7,595 6,899 $2K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 13 13 $2K
87186 3,231 3,060 $2K
87522 Neg quan hep c or qual rna 133 131 $2K
87070 1,184 1,131 $2K
81025 5,733 5,383 $2K
87081 5,171 4,973 $1K
76641 16 14 $1K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 9,563 8,434 $1K
70486 54 53 $1K
73080 68 62 $1K
85610 3,698 3,289 $1K
0001A 66 66 $1K
85027 330 317 $1K
97530 Therapeutic activities, direct patient contact, each 15 minutes 33 13 $1K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 108 106 $979.40
81003 2,738 2,628 $935.50
J3490 Unclassified drugs 118 105 $925.97
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,961 7,078 $915.46
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,034 4,811 $907.92
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 319 308 $884.02
83550 138 134 $879.91
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 29 27 $844.13
72148 Magnetic resonance imaging, lumbar spine; without contrast material 12 12 $844.11
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 838 810 $829.69
87807 1,312 1,250 $782.25
0012A 25 25 $741.66
87077 1,044 989 $727.66
87205 1,427 1,314 $698.66
82728 134 126 $687.27
96375 Therapeutic injection; each additional sequential IV push 8,026 6,828 $685.99
86900 668 629 $655.16
84703 1,799 1,716 $612.80
80076 120 113 $609.85
86803 228 211 $606.11
82150 1,841 1,726 $589.93
87088 1,317 1,258 $578.71
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 38 37 $557.84
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,705 4,454 $549.34
86038 88 86 $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 14 13 $439.44
72070 14 14 $418.10
83540 139 135 $409.55
86704 76 69 $319.20
73090 14 12 $276.78
85730 2,195 2,038 $254.13
96376 2,429 1,803 $252.86
87147 938 895 $246.18
80074 73 69 $228.89
86901 626 579 $222.38
86141 44 43 $207.93
0011A 12 12 $200.00
87340 44 44 $193.17
88305 Level IV - Surgical pathology, gross and microscopic examination 1,472 1,445 $182.41
97035 24 12 $157.47
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,127 1,099 $144.28
86708 27 27 $136.05
86706 27 27 $136.05
86701 56 52 $128.50
86850 72 68 $121.80
J7030 Infusion, normal saline solution , 1000 cc 7,307 6,202 $113.99
86317 13 12 $111.50
83615 244 229 $105.57
82570 14 14 $85.53
J0696 Injection, ceftriaxone sodium, per 250 mg 2,822 2,343 $84.05
J2405 Injection, ondansetron hydrochloride, per 1 mg 9,254 8,079 $80.38
86702 56 52 $78.32
J7050 Infusion, normal saline solution, 250 cc 5,111 3,336 $74.00
84153 13 13 $72.95
85651 87 83 $65.81
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,007 2,817 $60.56
82140 85 79 $58.87
73590 12 12 $51.13
86200 12 12 $41.88
82550 88 83 $38.09
84550 13 13 $32.96
82043 12 12 $29.66
81015 36 36 $27.35
J2360 Injection, orphenadrine citrate, up to 60 mg 637 602 $23.08
J2270 Injection, morphine sulfate, up to 10 mg 2,945 2,454 $15.09
J1170 Injection, hydromorphone, up to 4 mg 3,206 2,713 $13.81
88342 223 220 $13.34
J1885 Injection, ketorolac tromethamine, per 15 mg 7,365 6,066 $13.18
87075 13 12 $12.84
J2060 Injection, lorazepam, 2 mg 1,323 1,157 $10.91
82077 194 181 $8.11
81002 319 300 $7.54
J7120 Ringers lactate infusion, up to 1000 cc 4,842 4,263 $2.50
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,717 1,615 $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 368 356 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,801 1,565 $0.00
99152 689 682 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 209 190 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 67 65 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 384 341 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,903 1,800 $0.00
80179 38 37 $0.00
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 49 40 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 155 132 $0.00
J7510 Prednisolone oral, per 5 mg 70 69 $0.00
85014 29 26 $0.00
J1171 Injection, hydromorphone, 0.1 mg 40 35 $0.00
80143 41 38 $0.00
J1644 Injection, heparin sodium, per 1000 units 34 13 $0.00
J7070 Infusion, d5w, 1000 cc 14 12 $0.00
29125 15 13 $0.00
C9113 Injection, pantoprazole sodium, per vial 106 94 $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) 47 46 $0.00
S0164 Injection, pantoprazole sodium, 40 mg 34 30 $0.00
J0737 Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg 18 15 $0.00
J0690 Injection, cefazolin sodium, 500 mg 466 421 $0.00
A9270 Non-covered item or service 1,897 1,003 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 267 249 $0.00
J2704 Injection, propofol, 10 mg 3,252 2,899 $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 1,135 1,071 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 3,199 2,885 $0.00
82803 45 41 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 3,842 3,465 $0.00
71101 13 13 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 350 321 $0.00
74019 12 12 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 277 217 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 280 262 $0.00
94761 307 275 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 142 93 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 80 78 $0.00
J1630 Injection, haloperidol, up to 5 mg 198 175 $0.00
94760 539 464 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 13 12 $0.00
G0379 Direct admission of patient for hospital observation care 40 39 $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 1,024 885 $0.00
J7999 Compounded drug, not otherwise classified 270 247 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 64 59 $0.00
J2372 Injection, phenylephrine hydrochloride (biorphen), 20 micrograms 12 12 $0.00
J1815 Injection, insulin, per 5 units 12 12 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 12 12 $0.00
80047 14 12 $0.00
J7626 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg 13 13 $0.00
80320 62 58 $0.00
J8540 Dexamethasone, oral, 0.25 mg 14 13 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 12 12 $0.00