Medicaid Provider Spending

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

SEA MAR COMMUNITY HEALTH CENTERS

NPI: 1962775270 · EVERETT, WA 98208 · Internal Medicine Physician · NPI assigned 02/16/2012

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

Authorized official BARTOLO, MARY controls 20+ related entities in our dataset. Read more

$265K
Total Medicaid Paid
11,099
Total Claims
10,405
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBARTOLO, MARY (EXECUTIVE VICE PRESIDENT)
NPI Enumeration Date02/16/2012

Related Entities

Other providers sharing the same authorized official: BARTOLO, MARY

ProviderCityStateTotal Paid
SEA-MAR COMMUNITY HEALTH CENTER SEATTLE WA $42.52M
SEA MAR COMMUNITY HEALTH CENTERS SEATTLE WA $12.11M
SEA MAR COMMUNITY HEALTH CENTERS VANCOUVER WA $9.33M
SEA MAR COMMUNITY HEALTH CENTERS MOUNT VERNON WA $8.71M
SEA MAR COMMUNITY HEALTH CENTERS BELLINGHAM WA $8.66M
SEA MAR COMMUNITY HEALTH CENTERS BELLEVUE WA $8.62M
SEA MAR COMMUNITY HEALTH CENTERS PUYALLUP WA $7.82M
SEA MAR COMMUNITY HEALTH CENTERS SEATTLE WA $6.99M
SEA MAR COMMUNITY HEALTH CENTERS TACOMA WA $6.75M
SEA MAR COMMUNITY HEALTH CENTERS MARYSVILLE WA $6.52M
SEA MAR COMMUNITY HEALTH CENTERS ABERDEEN WA $5.02M
SEA MAR COMMUNITY HEALTH CENTERS BELLINGHAM WA $4.79M
SEA MAR COMMUNITY HEALTH CENTERS SEATAC WA $4.22M
SEA MAR COMMUNITY HEALTH CENTERS TACOMA WA $4.13M
SEA MAR COMMUNITY HEALTH CENTERS VANCOUVER WA $3.89M
SEA MAR COMMUNITY HEALTH CENTERS ELMA WA $3.53M
SEA MAR COMMUNITY HEALTH CENTERS OLYMPIA WA $3.37M
SEA MAR COMMUNITY HEALTH CENTERS OAK HARBOR WA $3.13M
SEA MAR COMMUNITY HEALTH CENTERS BATTLE GROUND WA $2.77M
SEA MAR COMMUNITY HEALTH CENTERS MARYSVILLE WA $1.79M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,918 $39K
2019 1,313 $41K
2020 545 $18K
2021 514 $17K
2022 1,198 $47K
2023 1,827 $64K
2024 3,784 $38K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,010 3,804 $138K
T1015 Clinic visit/encounter, all-inclusive 727 636 $57K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 381 366 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 532 506 $14K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 192 161 $11K
90686 405 396 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 436 419 $4K
G0467 Federally 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 595 550 $4K
83036 Hemoglobin; glycosylated (A1C) 583 572 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 65 65 $3K
80061 Lipid panel 148 146 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 15 12 $707.42
90670 45 43 $668.36
99238 Hospital discharge day management, 30 minutes or less 14 14 $620.80
97803 15 15 $516.88
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 16 16 $516.39
90656 63 61 $448.90
90677 39 39 $397.98
96110 Developmental screening, with scoring and documentation, per standardized instrument 67 63 $363.68
81002 298 235 $342.69
99441 12 12 $325.54
85025 Blood count; complete (CBC), automated, and automated differential WBC count 43 40 $247.16
3074F 638 603 $0.00
3044F 59 55 $0.00
1159F 598 566 $0.00
0502F 265 213 $0.00
1160F 231 224 $0.00
3078F 607 573 $0.00