Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WA › Bellevue › NPI 1861432726
Hospital

Overlake Medical Center & Clinics

Overlake Medical Center & Clinics was paid $16.60M by Medicaid between Jan 2018 and Dec 2024, across 232 billing codes. Its largest line is 96361, Intravenous infusion, hydration; each additional hour — 20% of everything it billed.

33Billing provider infoOVERLAKE MEDICAL CENTER & CLINICS
BELLEVUE, WA 98004
33aNPI1861432726assigned 06/08/2006
28Total paid$16.60M
24GClaims648,979
24DCodes billed232
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Washington

Rank by total paid#29 of 49
Median peer was paid$20.06M
This provider vs. median0.8×

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$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
201873,407$2.05M
201981,325$2.25M
202074,325$2.07M
2021102,673$2.70M
2022140,619$2.87M
2023101,071$2.61M
2024incomplete75,559$2.06M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
96361 Intravenous infusion, hydration; each additional hour 20% 13,976 9,675 $3.35M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 11% 21,037 17,325 $1.81M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 9.1% 20,898 17,933 $1.50M
99282 Emergency department visit for the evaluation and management, low to moderate severity 9.0% 13,571 12,643 $1.50M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 6.5% 17,362 15,164 $1.08M
74177 Computed tomography, abdomen and pelvis; with contrast material 5.1% 5,671 5,391 $851K
70450 Computed tomography, head or brain; without contrast material 4.0% 5,296 4,806 $662K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4.0% 13,840 9,548 $658K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2.5% 4,020 3,376 $407K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2.0% 2,339 1,265 $336K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.9% 1,905 1,859 $313K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.9% 3,778 2,972 $311K
220 more codes
59025 Fetal non-stress test 1.9% 2,286 $310K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.6% 9,072 $263K
U0003 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, making use of high throughput technologies as described by cms-2020-01-r 1.5% 4,276 $249K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.5% 2,473 $246K
92558 1.3% 2,527 $222K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.2% 2,472 $205K
71275 Computed tomographic angiography, chest, with contrast material 1.2% 1,269 $194K
76705 Ultrasound, abdominal, real time with image documentation; limited 1.1% 2,407 $189K
80053 Comprehensive metabolic panel <1% 36,377 $135K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 597 $123K
76830 Ultrasound, transvaginal <1% 1,721 $122K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,542 $111K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,970 $91K
93971 <1% 1,195 $90K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 8,100 $87K
G0378 Hospital observation service, per hour <1% 4,104 $77K
71046 Radiologic examination, chest; 2 views <1% 5,526 $69K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,577 $68K
76642 <1% 695 $63K
84484 <1% 13,866 $50K
70496 <1% 352 $47K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 944 $44K
77067 Screening mammography, bilateral, including computer-aided detection <1% 3,202 $42K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,384 $41K
76801 <1% 847 $28K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 260 $28K
80048 Basic metabolic panel (calcium, ionized) <1% 8,777 $26K
97161 <1% 1,037 $26K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 17,964 $24K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,014 $21K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 94 $21K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 16,715 $19K
87040 <1% 3,247 $19K
73610 <1% 1,476 $18K
73630 <1% 1,357 $18K
93017 <1% 246 $17K
83605 <1% 3,976 $17K
87486 <1% 1,131 $16K
73564 <1% 1,502 $15K
72125 Computed tomography, cervical spine; without contrast material <1% 1,900 $14K
10060 <1% 57 $12K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 67 $12K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 1,127 $11K
73030 <1% 1,223 $11K
80047 <1% 3,727 $10K
97165 <1% 386 $10K
73130 <1% 851 $10K
85379 <1% 2,117 $10K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 713 $10K
73110 <1% 758 $9K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 1,156 $9K
87581 <1% 1,131 $9K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 16,897 $9K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 28 $9K
93975 <1% 130 $8K
76536 <1% 132 $8K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 25,671 $8K
83880 <1% 2,048 $8K
71045 Radiologic examination, chest; single view <1% 10,861 $7K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 133 $7K
36415 Collection of venous blood by venipuncture <1% 11,866 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 122 $7K
76770 <1% 92 $7K
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 <1% 88 $7K
96375 Therapeutic injection; each additional sequential IV push <1% 14,125 $6K
73140 <1% 310 $6K
70498 <1% 297 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 649 $5K
93321 <1% 37 $5K
97535 Self-care/home management training, each 15 minutes <1% 417 $5K
73502 <1% 503 $5K
96367 <1% 66 $5K
85027 <1% 22,979 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 590 $4K
77066 Tomosynthesis, mammo <1% 154 $4K
84443 Thyroid stimulating hormone (TSH) <1% 7,858 $4K
88720 <1% 1,963 $4K
71250 <1% 86 $3K
97116 <1% 328 $3K
90715 <1% 216 $3K
72100 <1% 450 $3K
80069 <1% 1,764 $3K
77065 Tomosynthesis, mammo <1% 101 $3K
93970 <1% 31 $3K
96376 <1% 7,562 $3K
74018 <1% 255 $3K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 516 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 8,625 $3K
80306 <1% 1,692 $3K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 15 $2K
83690 <1% 11,617 $2K
81001 <1% 16,878 $2K
84703 <1% 9,687 $2K
87086 Culture, bacterial; quantitative colony count, urine <1% 6,291 $2K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 3,452 $2K
73080 <1% 131 $2K
93325 <1% 136 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 52 $2K
86850 <1% 1,151 $1K
83735 <1% 3,818 $1K
86900 <1% 2,020 $1K
85014 <1% 5,283 $1K
84702 <1% 3,439 $1K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 2,638 $1K
87510 <1% 250 $1K
80061 Lipid panel <1% 992 $1K
72110 <1% 44 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 80 $1K
70486 <1% 57 $1K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 69 $983.81
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 294 $971.16
70544 <1% 12 $924.86
87186 <1% 2,326 $831.34
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 12 $789.67
86140 <1% 1,676 $727.36
86901 <1% 2,008 $696.84
82948 <1% 3,895 $684.25
83036 Hemoglobin; glycosylated (A1C) <1% 1,749 $627.19
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,449 $593.83
81003 <1% 6,685 $580.02
87660 <1% 250 $568.10
77080 <1% 12 $551.90
84439 <1% 969 $531.90
85610 <1% 8,102 $505.00
82803 <1% 1,111 $481.38
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 140 $416.47
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,049 $411.12
97162 <1% 13 $352.00
G0480 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; 1-7 drug class(es), including metabolite(s) if performed <1% 1,510 $345.74
73590 <1% 55 $335.42
93351 <1% 37 $334.20
82565 <1% 872 $328.53
87081 <1% 978 $326.92
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 409 $320.46
J2550 Injection, promethazine hcl, up to 50 mg <1% 814 $319.84
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 2,713 $312.29
82607 <1% 281 $311.39
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 590 $300.87
76377 <1% 232 $281.53
85652 <1% 1,297 $279.42
87070 <1% 993 $277.39
71101 <1% 26 $260.29
90686 <1% 34 $241.46
J1644 Injection, heparin sodium, per 1000 units <1% 5,582 $223.11
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 8,383 $223.04
J2060 Injection, lorazepam, 2 mg <1% 3,401 $208.25
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 877 $207.69
82550 <1% 627 $197.95
80076 <1% 89 $183.73
36591 <1% 230 $153.93
87205 <1% 1,030 $142.90
72040 <1% 12 $132.89
83550 <1% 101 $124.84
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 4,981 $117.70
83874 <1% 12 $116.82
83540 <1% 102 $110.20
73090 <1% 12 $96.84
J1170 Injection, hydromorphone, up to 4 mg <1% 10,138 $92.80
C9113 Injection, pantoprazole sodium, per vial <1% 849 $86.66
74022 <1% 12 $80.21
87088 <1% 681 $69.54
82248 <1% 20 $67.61
J3010 Injection, fentanyl citrate, 0.1 mg <1% 7,063 $61.47
G0008 Administration of influenza virus vaccine <1% 150 $60.57
87147 <1% 572 $58.03
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 4,052 $51.56
Q9957 Injection, perflutren lipid microspheres, per ml <1% 306 $47.60
87077 <1% 486 $43.07
87480 <1% 250 $38.48
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,340 $35.15
J1630 Injection, haloperidol, up to 5 mg <1% 1,841 $29.40
J1815 Injection, insulin, per 5 units <1% 2,078 $20.26
J3475 Injection, magnesium sulfate, per 500 mg <1% 660 $19.50
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 424 $17.97
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 4,779 $16.10
99152 <1% 146 $15.93
88304 <1% 154 $15.68
84100 <1% 24 $14.25
88342 <1% 30 $13.77
A9270 Non-covered item or service <1% 10,361 $13.41
90662 <1% 27 $12.10
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,104 $11.61
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 68 $8.70
84550 <1% 40 $8.57
82553 <1% 27 $8.36
82728 <1% 14 $7.99
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,096 $7.04
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% 3,045 $6.46
J0690 Injection, cefazolin sodium, 500 mg <1% 3,159 $4.78
J0780 Injection, prochlorperazine, up to 10 mg <1% 374 $4.30
85018 <1% 63 $3.86
82570 <1% 50 $3.49
C1769 Guide wire <1% 1,401 $2.75
J2470 Injection, pantoprazole sodium, 40 mg <1% 91 $0.12
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 950 $0.11
J1650 Injection, enoxaparin sodium, 10 mg 0% 671 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 128 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 1,246 $0.00
J1756 Injection, iron sucrose, 1 mg 0% 51 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 81 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 53 $0.00
82010 0% 26 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 42 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 133 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 46 $0.00
84156 0% 15 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 143 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 45 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 15 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 130 $0.00
C9399 Unclassified drugs or biologicals 0% 68 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 305 $0.00
J3360 Injection, diazepam, up to 5 mg 0% 124 $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% 284 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 51 $0.00
V2632 Posterior chamber intraocular lens 0% 43 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 30 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 24 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 16 $0.00
82746 0% 27 $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 officialDUARTE, JONATHAN (CEO)
Same official

Other billing entities under DUARTE, JONATHAN

Full network →
ProviderLocationPaid
Overlake Medical Center & ClinicsBellevue, WA$451K
Overlake Medical Center & ClinicsBellevue, WA$14K

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