Neighborcare Health
Neighborcare Health was paid $1.48M by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
SEATTLE, WA 98126
Next to other Federally Qualified Health Center (FQHC) providers in Washington
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,950 | $260K | |
| 2019 | 9,690 | $293K | |
| 2020 | 7,830 | $176K | |
| 2021 | 8,138 | $217K | |
| 2022 | 7,212 | $217K | |
| 2023 | 6,354 | $186K | |
| 2024incomplete | 3,783 | $130K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 17,378 | 16,240 | $548K |
| 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 | 30% | 10,955 | 9,691 | $445K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 9.5% | 3,644 | 2,599 | $141K |
| 99442 | 9.4% | 3,471 | 3,337 | $139K | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 3.6% | 4,878 | 3,505 | $53K |
| 99441 | 2.2% | 1,266 | 1,206 | $33K | |
| 90686 | 1.6% | 1,983 | 1,971 | $23K | |
| 99443 | 1.5% | 387 | 373 | $21K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 803 | 777 | $17K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.0% | 317 | 183 | $15K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 847 | 649 | $13K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 874 | 860 | $9K |
27 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 200 | $8K |
| 91322 | <1% | 26 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 252 | $2K |
| 0012A | <1% | 46 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 36 | $1K |
| 0011A | <1% | 62 | $1K | |
| 90651 | <1% | 17 | $834.50 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 19 | $786.92 |
| 90656 | <1% | 52 | $781.36 | |
| 90688 | <1% | 117 | $727.31 | |
| 80305 | <1% | 61 | $625.12 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 276 | $583.11 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $500.75 |
| 99201 | <1% | 16 | $412.08 | |
| 90480 | <1% | 14 | $403.62 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 45 | $198.24 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | $187.08 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 13 | $116.80 |
| 85018 | <1% | 15 | $15.19 | |
| 92551 | <1% | 14 | $14.92 | |
| 3078F | 0% | 859 | $0.00 | |
| 3077F | 0% | 13 | $0.00 | |
| 3074F | 0% | 820 | $0.00 | |
| 3008F | 0% | 1,984 | $0.00 | |
| 91301 | 0% | 108 | $0.00 | |
| 3079F | 0% | 32 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 31 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Neighborcare Health | Seattle, WA | $18.89M |
| Neighborcare Health | Seattle, WA | $16.15M |
| Neighborcare Health | Seattle, WA | $10.26M |
| Neighborcare Health | Seattle, WA | $8.78M |
| Neighborcare Health | Seattle, WA | $5.21M |
| Neighborcare Health | Seattle, WA | $3.40M |
| Neighborcare Health | Seattle, WA | $3.32M |
| Neighborcare Health | Seattle, WA | $2.90M |
| Neighborcare Health | Seattle, WA | $2.17M |
| Neighborcare Health | Seattle, WA | $1.83M |
| Neighborcare Health | Seattle, WA | $1.30M |
| Neighborcare Health | Seattle, WA | $883K |
| Neighborcare Health | Seattle, WA | $731K |
| Neighborcare Health | Seattle, WA | $219K |
| Neighborcare Health | Vashon, WA | $28K |
| Neighborcare Health | Seattle, WA | $28K |
| Neighborcare Health | Seattle, WA | $14K |
| Neighborcare Health | Seattle, WA | $7K |
| Neighborcare Health | Seattle, WA | $5K |
| Neighborcare Health | Seattle, WA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.