Physician
Pend Oreille County Public Hospital District No 1
Pend Oreille County Public Hospital District No 1 was paid $10.67M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoPEND OREILLE COUNTY PUBLIC HOSPITAL DISTRICT NO 1
NEWPORT, WA 99156
NEWPORT, WA 99156
33aNPI1912026360assigned 03/28/2007
33bProvider typeFamily Medicine Physician
28Total paid$10.67M
24GClaims102,902
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Washington
Rank by total paid#15 of 347
Median peer was paid$53K
This provider vs. median202×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 18,562 | $1.73M | |
| 2019 | 18,973 | $1.87M | |
| 2020 | 13,927 | $1.43M | |
| 2021 | 12,120 | $1.26M | |
| 2022 | 12,875 | $1.37M | |
| 2023 | 13,782 | $1.52M | |
| 2024incomplete | 12,663 | $1.49M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 78% | 53,236 | 47,004 | $8.33M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 27,305 | 24,751 | $1.17M |
| 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 | 11% | 20,280 | 18,413 | $1.12M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,068 | 814 | $23K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 102 | 91 | $7K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 45 | 25 | $5K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 21 | 13 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 24 | 24 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 26 | 26 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 14 | 13 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 13 | $684.08 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 24 | 12 | $578.30 |
7 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 47 | $526.29 |
| 90686 | <1% | 36 | $410.45 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 254 | $329.15 |
| 96127 | <1% | 130 | $288.96 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 39 | $185.13 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $169.26 |
| 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) | 0% | 226 | $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 officialMANUS, KIM (CEO)
| Provider | Location | Paid |
|---|---|---|
| Pend Oreille County Public Hospital District No 1 | Newport, WA | $11.61M |
| Pend Oreille County Public Hospital District No 1 | Newport, WA | $747K |
| Pend Oreille County Public Hospital District No 1 | Newport, WA | $453.67 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.