Physician
Sea Mar Community Health Centers
Sea Mar Community Health Centers was paid $265K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoSEA MAR COMMUNITY HEALTH CENTERS
EVERETT, WA 98208
EVERETT, WA 98208
33aNPI1962775270assigned 02/16/2012
33bProvider typeInternal Medicine Physician
28Total paid$265K
24GClaims11,099
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Washington
Rank by total paid#30 of 155
Median peer was paid$14K
This provider vs. median18×
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 | 1,918 | $39K | |
| 2019 | 1,313 | $41K | |
| 2020 | 545 | $18K | |
| 2021 | 514 | $17K | |
| 2022 | 1,198 | $47K | |
| 2023 | 1,827 | $64K | |
| 2024incomplete | 3,784 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 52% | 4,010 | 3,804 | $138K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 21% | 727 | 636 | $57K |
| 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 | 6.9% | 381 | 366 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.4% | 532 | 506 | $14K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.0% | 192 | 161 | $11K |
| 90686 | 1.8% | 405 | 396 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 436 | 419 | $4K |
| 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 | 1.5% | 595 | 550 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.4% | 583 | 572 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 65 | 65 | $3K |
| 80061 | Lipid panel | <1% | 148 | 146 | $1K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 15 | 12 | $707.42 |
16 more codes
| 90670 | <1% | 45 | $668.36 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $620.80 |
| 97803 | <1% | 15 | $516.88 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 16 | $516.39 |
| 90656 | <1% | 63 | $448.90 | |
| 90677 | <1% | 39 | $397.98 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 67 | $363.68 |
| 81002 | <1% | 298 | $342.69 | |
| 99441 | <1% | 12 | $325.54 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 43 | $247.16 |
| 3074F | 0% | 638 | $0.00 | |
| 3044F | 0% | 59 | $0.00 | |
| 1159F | 0% | 598 | $0.00 | |
| 0502F | 0% | 265 | $0.00 | |
| 1160F | 0% | 231 | $0.00 | |
| 3078F | 0% | 607 | $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.