Physician
Sunnyside Community Hospital Association
Sunnyside Community Hospital Association was paid $2.35M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 80% of everything it billed.
33Billing provider infoSUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
PROSSER, WA 99350
PROSSER, WA 99350
33aNPI1912305905assigned 12/08/2014
33bProvider typeInternal Medicine Physician
28Total paid$2.35M
24GClaims21,713
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Washington
Rank by total paid#12 of 155
Median peer was paid$14K
This provider vs. median162×
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
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 | 4,637 | $320K | |
| 2019 | 3,966 | $427K | |
| 2020 | 1,482 | $174K | |
| 2021 | 2,337 | $348K | |
| 2022 | 3,128 | $382K | |
| 2023 | 3,490 | $387K | |
| 2024incomplete | 2,673 | $309K |
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 | 80% | 10,513 | 9,556 | $1.88M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.4% | 3,950 | 3,409 | $197K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 5.4% | 2,948 | 2,903 | $126K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 869 | 787 | $49K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 1,018 | 962 | $34K |
| 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 | 1.1% | 318 | 295 | $26K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,057 | 547 | $12K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 818 | 742 | $10K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 109 | 107 | $4K |
| 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% | 16 | 16 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 15 | 14 | $1K |
| 99441 | <1% | 17 | 17 | $579.44 |
3 more codes
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)
| Provider | Location | Paid |
|---|---|---|
| Sunnyside Community Hospital Association | Sunnyside, WA | $55.09M |
| SHC Medical Center Toppenish | Toppenish, WA | $15.10M |
| SHC Medical Center - Yakima | Yakima, WA | $6.93M |
| SHC Medical Center Toppenish | Union Gap, WA | $4.99M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.