Physician
ST. Charles Health System, INC.
ST. Charles Health System, INC. was paid $8.55M by Medicaid between Jan 2018 and Dec 2024, across 111 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoST. CHARLES HEALTH SYSTEM, INC.
BEND, OR 97701
BEND, OR 97701
33aNPI1023331303assigned 03/01/2010
33bProvider typeFamily Medicine Physician
28Total paid$8.55M
24GClaims293,921
24DCodes billed111
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Oregon
Rank by total paid#4 of 208
Median peer was paid$49K
This provider vs. median174×
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 | 31,858 | $651K | |
| 2019 | 39,594 | $935K | |
| 2020 | 33,443 | $832K | |
| 2021 | 41,212 | $1.22M | |
| 2022 | 44,981 | $1.52M | |
| 2023 | 47,180 | $1.62M | |
| 2024incomplete | 55,653 | $1.77M |
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 | 39% | 92,855 | 86,804 | $3.31M |
| 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 | 22% | 72,281 | 66,042 | $1.92M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.0% | 7,853 | 7,469 | $687K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 6.3% | 1,078 | 1,033 | $539K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 5.7% | 11,271 | 10,432 | $483K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.6% | 3,574 | 3,001 | $218K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 2.0% | 14,222 | 13,301 | $169K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.8% | 28,310 | 24,850 | $151K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.5% | 1,092 | 1,050 | $131K |
| 95806 | <1% | 577 | 572 | $66K | |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | <1% | 210 | 184 | $65K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 502 | 227 | $57K |
99 more codes
| 90686 | <1% | 3,291 | $57K | |
| 95800 | <1% | 381 | $57K | |
| 99417 | Prolong home eval add 15m | <1% | 342 | $55K |
| 95811 | <1% | 99 | $38K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,590 | $33K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,148 | $32K |
| 0298T | <1% | 627 | $28K | |
| M0247 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring | <1% | 88 | $28K |
| 0296T | <1% | 623 | $28K | |
| 77014 | <1% | 1,086 | $28K | |
| 93793 | <1% | 5,600 | $25K | |
| 94660 | <1% | 424 | $20K | |
| M0245 | Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring | <1% | 71 | $19K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 192 | $18K |
| 99205 | Prolong outpt/office vis | <1% | 103 | $18K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 221 | $17K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 371 | $17K |
| 90682 | <1% | 379 | $16K | |
| 93295 | <1% | 673 | $16K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 139 | $14K |
| 91322 | <1% | 176 | $14K | |
| 96127 | <1% | 2,081 | $13K | |
| 93248 | <1% | 789 | $12K | |
| 97803 | <1% | 129 | $10K | |
| 94060 | <1% | 977 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 394 | $8K |
| 0002A | <1% | 251 | $8K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,443 | $7K |
| 0001A | <1% | 234 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 63 | $7K |
| 85610 | <1% | 6,735 | $6K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 54 | $5K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 72 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 485 | $5K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 212 | $4K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 88 | $4K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 285 | $4K |
| 93294 | <1% | 475 | $4K | |
| 0003A | <1% | 155 | $4K | |
| 90480 | <1% | 174 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 59 | $4K |
| 97802 | <1% | 26 | $4K | |
| 90656 | <1% | 189 | $3K | |
| 59025 | Fetal non-stress test | <1% | 108 | $3K |
| 99223 | Prolong inpt eval add15 m | <1% | 26 | $3K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 25 | $3K |
| 76801 | <1% | 50 | $3K | |
| 0124A | <1% | 114 | $3K | |
| 93000 | <1% | 212 | $2K | |
| 94729 | <1% | 460 | $2K | |
| 0071A | <1% | 47 | $2K | |
| 0072A | <1% | 44 | $2K | |
| 99459 | <1% | 101 | $2K | |
| 93016 | <1% | 97 | $1K | |
| 94726 | <1% | 186 | $1K | |
| 99442 | <1% | 513 | $1K | |
| 93244 | <1% | 78 | $1K | |
| 93308 | <1% | 95 | $995.01 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 102 | $981.16 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 118 | $904.98 |
| 93018 | <1% | 97 | $836.67 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 16 | $751.54 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 29 | $637.60 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 13 | $575.66 |
| 93246 | <1% | 66 | $549.93 | |
| 90670 | <1% | 27 | $505.08 | |
| 99283 | Emergency room visit (moderate) | <1% | 160 | $482.58 |
| 0064A | <1% | 19 | $478.40 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 13 | $476.66 |
| 81002 | <1% | 289 | $467.93 | |
| 93321 | <1% | 111 | $410.65 | |
| 90715 | <1% | 12 | $402.56 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 13 | $389.15 |
| 90685 | <1% | 16 | $329.40 | |
| 90698 | <1% | 13 | $263.52 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 130 | $251.13 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $199.01 |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | <1% | 12 | $194.05 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 18 | $178.33 |
| 93280 | <1% | 17 | $156.07 | |
| 81003 | <1% | 132 | $146.37 | |
| 93325 | <1% | 101 | $138.10 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 143 | $127.66 |
| 81025 | <1% | 20 | $88.11 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 62 | $68.58 |
| 99441 | <1% | 39 | $52.53 | |
| 0502F | <1% | 16,321 | $38.09 | |
| 96160 | <1% | 16 | $36.32 | |
| G0008 | Administration of influenza virus vaccine | <1% | 35 | $27.56 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | $12.52 |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 477 | $0.01 |
| 0503F | 0% | 17 | $0.00 | |
| 99285 | Emergency room visit (most serious) | 0% | 16 | $0.00 |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 0% | 84 | $0.00 |
| 99443 | 0% | 47 | $0.00 | |
| 93296 | 0% | 15 | $0.00 | |
| 99284 | Emergency room visit (serious) | 0% | 80 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 13 | $0.00 |
| 90662 | 0% | 12 | $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 officialSWAFFORD, MATTHEW (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| ST. Charles Health System, INC. | Madras, OR | $4.96M |
| ST. Charles Health System, INC. | Bend, OR | $1.38M |
| ST. Charles Health System, INC. | Prineville, OR | $1.37M |
| ST. Charles Health System, INC. | Bend, OR | $539K |
| ST. Charles Health System, INC. | Prineville, OR | $291K |
| ST. Charles Health System, INC. | Bend, OR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.