Providers
BENJAMIN DAVID PE, M.D.
NPI 1871698936, individual, Richland, WA, Psychiatry & Neurology, Psychiatry
5
Evidence tier
informational
- Medicaid dollars per patient on code 99214 ($229 per patient-month) sit in the top 5% of every provider billing that code.
score 35 of 100, rank 10052, $1.3M at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BENJAMIN DAVID PE, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | September 13, 2006, last updated December 18, 2007 |
| Practice location | 1175 CARONDELET DR, Richland, WA 99354-3300, 509-943-9104 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license MD00027679 WA) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $2.4M | 96% | $229 | $60 (top 5% from $133) | 99th percentile | |
| 96165 | Treatment of behavior impacting health in group setting, each additional 30 minutes | $55K | 2% | $185 | $132 (top 5% from $673) | 61st percentile | |
| 96164 | Treatment of behavior impacting health in group setting, initial 30 minutes | $22K | 1% | $75 | $37 (top 5% from $136) | 77th percentile | |
| H0004 | Behavioral health counseling and therapy per 15 minhistory of abuse | $22K | 1% | $83 | $174 (top 5% from $559) | 25th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $4K | 0% | $84 | $191 (top 5% from $442) | too few months to rank | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $1K | 0% | $40 | $96 (top 5% from $249) | too few months to rank | |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | $110 | 0% | $7.32 | $21 (top 5% from $104) | too few months to rank | |
| G0463 | Medicaid service code | $0 | 0% | $0.00 | $73 (top 5% from $142) | too few months to rank |
In this area
5 providers in Benton County, WA carry an indicator in the public record, with $1.2M at stake between them. The most common is paid after a public list action, on 2 of them, followed by part of a provider network on 2. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ZAIN MEDICAL CENTER Richland, WA, ranked 87 | $426K |
|
| 3 | SUNNYSIDE HOME HEALTH Sunnyside, WA, ranked 3148 | $0 |
|
| 3 | RICHLAND MEDICAL INVESTORS, LLC Richland, WA, ranked 4311 | $0 |
|
| 4 | CLOREESE WILKINSON-RIVERA Kennewick, WA, ranked 8208 | $733K |
|
| 5 | EDWARD SALKO Kennewick, WA, ranked 11756 | $48K |
Recent enforcement in WA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJSentencedMar 27, 2026
Local Physician Sentenced to 1 Year Imprisonment, a $60,000 fine, and Restitution of $349,272.79 for Adulterating and Misbranding Medical Devices with the Intent to Defraud
Haeger purchased over 500 used and recalled CPAP and BiPAP devices, had the sound abatement foam removed outside clean room conditions, provided the devices to Washington State Medicaid patients through his sleep clinic, and billed Medicaid representing them as new devices in good working order.
DOJCivil settlementJan 12, 2026
DOJ and Seattle-based FidaLab, LLC settle allegations it inflated bills to government health care programs
FidaLab billed Medicare for a series of urinary tract infection tests under multiple billing codes instead of a single code after its request to bill the tests as a panel was denied.
DOJPleaded guiltyDec 18, 2025
Local Physician Pleads Guilty to Adulterating and Misbranding Medical Devices with the Intent to Defraud
Physician purchased over 500 used and recalled CPAP and BiPAP devices, had the sound abatement foam removed outside of clean room conditions, provided the devices to Washington State Medicaid patients, and had staff bill Medicaid representing them as new devices in good working order.
DOJCivil settlementDec 10, 2025
Spokane Physician Pays $120,000 to Resolve Allegations He Prescribed Controlled Substances Without Legitimate Medical Purpose
Between 2017 and 2025 a licensed physician issued over 1,400 prescriptions for controlled substances to thirteen identified patients that lacked legitimate medical purposes or were outside the usual course of professional practice, failing to address red flags of substance abuse.
DOJSentencedDec 2, 2025
Indian national sentenced to prison for Medicare fraud scheme that stole more than $1 million in taxpayer funds
Asif conspired with others to bill Medicare for COVID-19 tests and other respiratory illness tests that had not been ordered or performed through American Labworks LLC.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.