Physician
Swofford & Halma Clinic, INC. P.S.
Swofford & Halma Clinic, INC. P.S. was paid $5.40M by Medicaid between Jan 2018 and Dec 2024, across 90 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoSWOFFORD & HALMA CLINIC, INC. P.S.
SUNNYSIDE, WA 98944
SUNNYSIDE, WA 98944
33aNPI1992758486assigned 05/18/2006
33bProvider typeFamily Medicine Physician
28Total paid$5.40M
24GClaims123,818
24DCodes billed90
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Washington
Rank by total paid#26 of 347
Median peer was paid$53K
This provider vs. median102×
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.
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 | 18,373 | $779K | |
| 2019 | 17,370 | $745K | |
| 2020 | 15,116 | $598K | |
| 2021 | 19,282 | $754K | |
| 2022 | 20,848 | $955K | |
| 2023 | 17,213 | $844K | |
| 2024incomplete | 15,616 | $719K |
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 | 56% | 52,802 | 44,955 | $3.05M |
| 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 | 8.4% | 6,565 | 5,997 | $454K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 3,981 | 3,829 | $343K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.9% | 3,411 | 3,393 | $319K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.5% | 2,591 | 2,579 | $244K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 1,780 | 1,772 | $183K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 3,565 | 3,353 | $130K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 5,076 | 2,950 | $74K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,435 | 3,378 | $50K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 645 | 589 | $42K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 999 | 968 | $39K |
| 90686 | <1% | 2,711 | 2,687 | $38K |
78 more codes
| 90670 | <1% | 2,001 | $26K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 473 | $25K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,947 | $25K |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 279 | $23K |
| 90688 | <1% | 1,332 | $20K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,261 | $19K |
| 90680 | <1% | 1,203 | $17K | |
| 0001A | <1% | 474 | $16K | |
| 0002A | <1% | 443 | $16K | |
| 90651 | <1% | 1,079 | $14K | |
| 99499 | <1% | 507 | $14K | |
| 99429 | <1% | 508 | $13K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,181 | $12K |
| 90715 | <1% | 643 | $12K | |
| 92551 | <1% | 1,625 | $12K | |
| 0011A | <1% | 247 | $9K | |
| 90697 | <1% | 482 | $9K | |
| 0012A | <1% | 242 | $9K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 104 | $9K |
| 90633 | <1% | 653 | $8K | |
| 90671 | <1% | 465 | $8K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 302 | $8K |
| 76801 | <1% | 112 | $7K | |
| 0071A | <1% | 173 | $7K | |
| 81025 | <1% | 854 | $6K | |
| 94760 | <1% | 6,038 | $6K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 734 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 600 | $6K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 238 | $6K |
| 0072A | <1% | 158 | $6K | |
| 90698 | <1% | 508 | $5K | |
| D0120 | Dental checkup, returning patient | <1% | 183 | $5K |
| 90619 | <1% | 262 | $4K | |
| 81003 | <1% | 1,846 | $4K | |
| 96127 | <1% | 935 | $4K | |
| 90734 | <1% | 302 | $3K | |
| 87807 | <1% | 202 | $2K | |
| 90648 | <1% | 268 | $2K | |
| 0064A | <1% | 65 | $2K | |
| 90744 | <1% | 179 | $2K | |
| 96161 | <1% | 917 | $2K | |
| 90656 | <1% | 221 | $2K | |
| 76813 | <1% | 26 | $2K | |
| 0004A | <1% | 49 | $2K | |
| 90710 | <1% | 125 | $2K | |
| 0031A | <1% | 47 | $2K | |
| 90685 | <1% | 142 | $2K | |
| 90696 | <1% | 114 | $1K | |
| 0052A | <1% | 34 | $1K | |
| 99442 | <1% | 32 | $1K | |
| 17110 | <1% | 14 | $942.60 | |
| 90620 | <1% | 43 | $714.42 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 12 | $706.02 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $608.41 |
| 90723 | <1% | 65 | $490.11 | |
| 0051A | <1% | 13 | $480.00 | |
| 0054A | <1% | 14 | $480.00 | |
| 83655 | <1% | 42 | $446.20 | |
| 90700 | <1% | 44 | $435.86 | |
| 83037 | <1% | 29 | $281.15 | |
| 90716 | <1% | 14 | $227.78 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $177.76 |
| 90707 | <1% | 12 | $158.95 | |
| 90658 | <1% | 16 | $117.03 | |
| 86580 | <1% | 19 | $105.48 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 15 | $18.20 |
| 87428 | <1% | 517 | $10.00 | |
| 91301 | 0% | 545 | $0.00 | |
| 91307 | 0% | 352 | $0.00 | |
| 91305 | 0% | 135 | $0.00 | |
| 91306 | 0% | 30 | $0.00 | |
| 91303 | 0% | 47 | $0.00 | |
| 0500F | 0% | 37 | $0.00 | |
| 91300 | 0% | 981 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 38 | $0.00 |
| 99072 | 0% | 166 | $0.00 | |
| 0502F | 0% | 198 | $0.00 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | 0% | 16 | $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 officialHALMA, HARLAN (CO-OWNER)
| Provider | Location | Paid |
|---|---|---|
| Mid-Valley Community Clinic, PLLC | Sunnyside, WA | $4.41M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.