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KRETCHMAR, JOSHUADO NPI 1629485701 Clinician

Family Practice · KENT, WA

Specialty Family Practice — from billed Medicare claims
In practice about 12 years since medical school (class of 2014, self-reported to CMS)
Location KENT, WA · NPPES registered location
Active in data Billed Medicare 2021–2024 (4 consecutive years)
Scale 9 codes billed · 1,342 disclosed volume (CY2024 — most recent year in data)
Current groups
member of 3 groups; the volumes below are this clinician's personal volume and are not attributed to any single group
Hospital affiliations
  • HARRISON MEDICAL CENTER · Hospital · CCN 500039
  • Home health agency — CCN 507092
  • Hospice — CCN 501540
  • Hospice — CCN 501543
  • Nursing home — CCN 505217
  • Nursing home — CCN 505290
  • Nursing home — CCN 505325
  • Nursing home — CCN 505475
  • Nursing home — CCN 505528
registry affiliations from the CMS Doctors & Clinicians facility file — an administrative affiliation, not a statement about where care is delivered

Group affiliation since 2019

20192026
SELECT OUTPATIENT SERVICES INC
2025–2026
SELECT REHABILITATION, LLC
2025–2026
REJUVENATION MEDICAL PLLC
2022–2026
DAIYA HEALTHCARE PLLC
2021
GREENE COUNTY MEDICAL CENTER
2019

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2020-11
Data year CY2024 CY2023 CY2022  CY2021 

Provider overview · all codes · CY2024

The full analytics for this provider

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The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed submitted charges across all codes were in CY2024. Included with Platform.

  • Charge, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

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Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Volume Beneficiary-episodes Avg charge Avg Medicare payment
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
99497 Advance care planning, first 30 minutes
99306 Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more
99315 Nursing facility discharge day management, 30 minutes or less
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
99441 Telephone medical discussion with physician, 5-10 minutes

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.