Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CASCADIA HEALTH

NPI: 1043397219 · PORTLAND, OR 97212 · Multi-Specialty Clinic/Center · NPI assigned 11/01/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T1020 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official MCALPINE, HEATHER controls 13+ related entities in our dataset. Read more

$14.24M
Total Medicaid Paid
24,992
Total Claims
1,099
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMCALPINE, HEATHER (CREDENTIALING SPECIALIST)
Parent OrganizationCASCADIA HEALTH
NPI Enumeration Date11/01/2006

Related Entities

Other providers sharing the same authorized official: MCALPINE, HEATHER

ProviderCityStateTotal Paid
CASCADIA HEALTH PORTLAND OR $76.79M
CASCADIA HEALTH PORTLAND OR $12.15M
CASCADIA HEALTH PORTLAND OR $8.15M
CASCADIA HEALTH PORTLAND OR $7.84M
CASCADIA HEALTH OREGON CITY OR $2.31M
CASCADIA HEALTH PORTLAND OR $1.55M
CASCADIA HEALTH PORTLAND OR $1.15M
CASCADIA HEALTH MILWAUKIE OR $184K
CASCADIA HEALTH PORTLAND OR $176K
CASCADIA HEALTH OREGON CITY OR $40K
CASCADIA HEALTH GLADSTONE OR $25K
CASCADIA HEALTH PORTLAND OR $18K
CASCADIA HEALTH PORTLAND OR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,371 $1.65M
2019 4,687 $2.01M
2020 4,178 $2.18M
2021 4,318 $2.36M
2022 3,545 $2.20M
2023 1,707 $1.32M
2024 3,186 $2.52M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1020 Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 24,961 1,079 $14.24M
H2013 Psychiatric health facility service, per diem 31 20 $700.46