Physician
Sea Mar Community Health Centers
Sea Mar Community Health Centers was paid $685K by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 38% of everything it billed.
33Billing provider infoSEA MAR COMMUNITY HEALTH CENTERS
SEATTLE, WA 98108
SEATTLE, WA 98108
33aNPI1962588426assigned 10/27/2006
33bProvider typeFamily Medicine Physician
28Total paid$685K
24GClaims38,187
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Washington
Rank by total paid#74 of 347
Median peer was paid$53K
This provider vs. median13×
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 BARTOLO, MARY controls 20+ 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 | 4,514 | $88K | |
| 2019 | 3,387 | $79K | |
| 2020 | 1,548 | $31K | |
| 2021 | 1,674 | $62K | |
| 2022 | 2,776 | $103K | |
| 2023 | 10,407 | $206K | |
| 2024incomplete | 13,881 | $115K |
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 | 38% | 4,404 | 3,836 | $261K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 6,324 | 5,951 | $195K |
| 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 | 5.6% | 892 | 843 | $38K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.4% | 668 | 610 | $37K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.2% | 579 | 574 | $36K |
| 90686 | 2.9% | 1,750 | 1,685 | $20K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.7% | 719 | 689 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 383 | 382 | $15K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 522 | 417 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 980 | 940 | $8K |
| 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 | <1% | 1,498 | 1,302 | $7K |
| 91320 | <1% | 53 | 52 | $5K |
42 more codes
| 76801 | <1% | 84 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 801 | $4K |
| 97802 | <1% | 98 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 147 | $2K |
| 90656 | <1% | 362 | $2K | |
| 90480 | <1% | 93 | $2K | |
| 90670 | <1% | 147 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 33 | $2K |
| 90677 | <1% | 153 | $2K | |
| 91322 | <1% | 15 | $2K | |
| 99441 | <1% | 79 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 38 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 178 | $920.21 |
| 90715 | <1% | 50 | $826.37 | |
| 90688 | <1% | 135 | $759.77 | |
| 90697 | <1% | 61 | $689.63 | |
| 90716 | <1% | 13 | $525.62 | |
| 80061 | Lipid panel | <1% | 56 | $517.36 |
| 99201 | <1% | 21 | $378.03 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 33 | $341.67 |
| 90633 | <1% | 39 | $333.26 | |
| 97803 | <1% | 13 | $301.44 | |
| 90648 | <1% | 29 | $277.20 | |
| 85014 | <1% | 164 | $239.06 | |
| 83655 | <1% | 25 | $223.89 | |
| 90734 | <1% | 16 | $201.45 | |
| 81002 | <1% | 190 | $191.97 | |
| 90651 | <1% | 31 | $146.85 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $142.06 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $124.81 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14 | $58.09 |
| 3078F | <1% | 541 | $0.01 | |
| 3074F | 0% | 686 | $0.00 | |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 0% | 7,168 | $0.00 |
| H2036 | Alcohol and/or other drug treatment program, per diem | 0% | 5,598 | $0.00 |
| 1126F | 0% | 128 | $0.00 | |
| 1125F | 0% | 33 | $0.00 | |
| 3044F | 0% | 15 | $0.00 | |
| 3079F | 0% | 13 | $0.00 | |
| 0502F | 0% | 390 | $0.00 | |
| 1159F | 0% | 1,086 | $0.00 | |
| 1160F | 0% | 610 | $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 officialBARTOLO, MARY (EXECUTIVE VICE PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.