Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION

NPI: 1912305905 · PROSSER, WA 99350 · Internal Medicine Physician · NPI assigned 12/08/2014

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

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

$2.35M
Total Medicaid Paid
21,713
Total Claims
19,416
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMATHIESEN, MATHEW (CFO)
NPI Enumeration Date12/08/2014

Related Entities

Other providers sharing the same authorized official: MATHIESEN, MATHEW

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,673 $309K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 10,513 9,556 $1.88M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,950 3,409 $197K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,948 2,903 $126K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 869 787 $49K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,018 962 $34K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 318 295 $26K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,057 547 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 818 742 $10K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 109 107 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 16 $2K
99215 Prolong outpt/office vis 15 14 $1K
99441 17 17 $579.44
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 38 36 $271.58
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15 13 $114.24
81002 12 12 $37.35