Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OR › BEND › ST. CHARLES HEALTH SYSTEM, INC.

ST. CHARLES HEALTH SYSTEM, INC.

NPI: 1023331303 · BEND, OR 97701 · Family Medicine Physician · NPI assigned 03/01/2010

$8.55M
Total Medicaid Paid
293,921
Total Claims
265,349
Beneficiaries
111
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSWAFFORD, MATTHEW (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date03/01/2010

Related Entities

Other providers sharing the same authorized official: SWAFFORD, MATTHEW

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 55,653 $1.77M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 92,855 86,804 $3.31M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 72,281 66,042 $1.92M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7,853 7,469 $687K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,078 1,033 $539K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 11,271 10,432 $483K
99215 Prolong outpt/office vis 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) 14,222 13,301 $169K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 28,310 24,850 $151K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,092 1,050 $131K
95806 577 572 $66K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 210 184 $65K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 502 227 $57K
90686 3,291 3,150 $57K
95800 381 370 $57K
99417 Prolong home eval add 15m 342 337 $55K
95811 99 93 $38K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,590 2,436 $33K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,148 3,105 $32K
0298T 627 584 $28K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 88 80 $28K
0296T 623 581 $28K
77014 1,086 369 $28K
93793 5,600 3,417 $25K
94660 424 404 $20K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 71 59 $19K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 192 185 $18K
99205 Prolong outpt/office vis 103 101 $18K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 221 196 $17K
99232 Subsequent hospital care, per day, moderate complexity 371 172 $17K
90682 379 365 $16K
93295 673 620 $16K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 139 138 $14K
91322 176 167 $14K
96127 2,081 1,988 $13K
93248 789 761 $12K
97803 129 103 $10K
94060 977 925 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 394 371 $8K
0002A 251 243 $8K
36415 Collection of venous blood by venipuncture 3,443 3,209 $7K
0001A 234 229 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 63 63 $7K
85610 6,735 4,753 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 54 54 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 72 69 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 485 471 $5K
99231 Subsequent hospital care, per day, straightforward or low complexity 212 102 $4K
99233 Prolong inpt eval add15 m 88 42 $4K
71046 Radiologic examination, chest; 2 views 285 272 $4K
93294 475 429 $4K
0003A 155 150 $4K
90480 174 165 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 59 57 $4K
97802 26 26 $4K
90656 189 189 $3K
59025 Fetal non-stress test 108 84 $3K
99223 Prolong inpt eval add15 m 26 25 $3K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 25 24 $3K
76801 50 44 $3K
0124A 114 112 $3K
93000 212 198 $2K
94729 460 437 $2K
0071A 47 43 $2K
0072A 44 42 $2K
99459 101 99 $2K
93016 97 97 $1K
94726 186 173 $1K
99442 513 473 $1K
93244 78 73 $1K
93308 95 79 $995.01
96110 Developmental screening, with scoring and documentation, per standardized instrument 102 97 $981.16
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 118 57 $904.98
93018 97 97 $836.67
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 16 14 $751.54
90832 Psychotherapy, 30 minutes with patient 29 17 $637.60
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 13 13 $575.66
93246 66 65 $549.93
90670 27 27 $505.08
99283 Emergency department visit for the evaluation and management, moderate severity 160 131 $482.58
0064A 19 19 $478.40
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 13 13 $476.66
81002 289 259 $467.93
93321 111 97 $410.65
90715 12 12 $402.56
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 13 13 $389.15
90685 16 15 $329.40
90698 13 13 $263.52
J7030 Infusion, normal saline solution , 1000 cc 130 111 $251.13
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 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 12 12 $194.05
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 18 16 $178.33
93280 17 15 $156.07
81003 132 119 $146.37
93325 101 87 $138.10
J1100 Injection, dexamethasone sodium phosphate, 1 mg 143 138 $127.66
81025 20 16 $88.11
90472 Immunization administration, each additional vaccine (list separately) 62 62 $68.58
99441 39 38 $52.53
0502F 16,321 14,443 $38.09
96160 16 15 $36.32
G0008 Administration of influenza virus vaccine 35 35 $27.56
J1885 Injection, ketorolac tromethamine, per 15 mg 13 12 $12.52
T1015 Clinic visit/encounter, all-inclusive 477 442 $0.01
0503F 17 14 $0.00
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 16 13 $0.00
99282 Emergency department visit for the evaluation and management, low to moderate severity 84 73 $0.00
99443 47 43 $0.00
93296 15 15 $0.00
99284 Emergency department visit for the evaluation and management, high severity 80 67 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 13 12 $0.00
90662 12 12 $0.00