Medicaid Provider Spending

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

PEARL HEALTH CENTER,PC

NPI: 1104918275 · PORTLAND, OR 97209 · Clinic/Center · NPI assigned 09/28/2006

$5.19M
Total Medicaid Paid
94,710
Total Claims
72,126
Beneficiaries
52
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFRESHMAN HOUSE, SHARI (PRESIDENT,NURSE PRACTITIONER)
NPI Enumeration Date09/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,330 $608K
2019 14,031 $966K
2020 14,223 $870K
2021 15,912 $781K
2022 15,469 $756K
2023 16,806 $916K
2024 6,939 $291K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18,604 15,410 $1.81M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,060 10,253 $824K
90834 Psychotherapy, 45 minutes with patient 4,802 2,608 $543K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,896 6,588 $518K
90791 Psychiatric diagnostic evaluation 912 819 $220K
97810 5,994 3,380 $188K
97811 6,095 3,383 $150K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 7,967 4,881 $145K
97124 4,052 2,690 $140K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,867 2,539 $100K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 689 641 $94K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 2,844 1,794 $87K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 1,606 1,506 $70K
99215 Prolong outpt/office vis 413 347 $56K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 529 501 $50K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,318 1,022 $37K
96158 914 661 $32K
98940 1,163 832 $25K
0003A 632 490 $13K
99402 249 214 $11K
36415 Collection of venous blood by venipuncture 4,804 4,345 $11K
99404 103 68 $8K
0013A 462 361 $8K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 66 66 $7K
96152 398 271 $7K
96160 2,901 2,687 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 144 135 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 62 61 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 153 147 $3K
0072A 132 109 $3K
0071A 131 109 $3K
90674 109 108 $3K
99403 33 29 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 144 109 $2K
97012 121 45 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 50 46 $1K
0012A 13 13 $446.69
0002A 18 16 $440.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 31 30 $247.20
96159 186 177 $219.05
87081 29 29 $129.92
81000 52 48 $123.64
0011A 13 13 $80.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 38 26 $30.95
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 146 143 $0.85
91301 509 401 $0.01
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 551 518 $0.00
91300 672 525 $0.00
90832 Psychotherapy, 30 minutes with patient 21 16 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 716 689 $0.00
91307 268 214 $0.00
97026 28 13 $0.00