Clinic
Pearl Health Center,pc
Pearl Health Center,pc was paid $5.19M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoPEARL HEALTH CENTER,PC
PORTLAND, OR 97209
PORTLAND, OR 97209
33aNPI1104918275assigned 09/28/2006
33bProvider typeClinic/Center
28Total paid$5.19M
24GClaims94,710
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Oregon
Rank by total paid#6 of 167
Median peer was paid$141K
This provider vs. median37×
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 | 11,330 | $608K | |
| 2019 | 14,031 | $966K | |
| 2020 | 14,223 | $870K | |
| 2021 | 15,912 | $781K | |
| 2022 | 15,469 | $756K | |
| 2023 | 16,806 | $916K | |
| 2024incomplete | 6,939 | $291K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 35% | 18,604 | 15,410 | $1.81M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 12,060 | 10,253 | $824K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 10% | 4,802 | 2,608 | $543K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 10.0% | 7,896 | 6,588 | $518K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.2% | 912 | 819 | $220K |
| 97810 | 3.6% | 5,994 | 3,380 | $188K | |
| 97811 | 2.9% | 6,095 | 3,383 | $150K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 2.8% | 7,967 | 4,881 | $145K |
| 97124 | 2.7% | 4,052 | 2,690 | $140K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.9% | 2,867 | 2,539 | $100K |
| 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 | 1.8% | 689 | 641 | $94K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 1.7% | 2,844 | 1,794 | $87K |
40 more codes
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 1.3% | 1,606 | $70K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.1% | 413 | $56K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 529 | $50K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,318 | $37K |
| 96158 | <1% | 914 | $32K | |
| 98940 | <1% | 1,163 | $25K | |
| 0003A | <1% | 632 | $13K | |
| 99402 | <1% | 249 | $11K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,804 | $11K |
| 99404 | <1% | 103 | $8K | |
| 0013A | <1% | 462 | $8K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 66 | $7K |
| 96152 | <1% | 398 | $7K | |
| 96160 | <1% | 2,901 | $7K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 144 | $6K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 62 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 153 | $3K |
| 0072A | <1% | 132 | $3K | |
| 0071A | <1% | 131 | $3K | |
| 90674 | <1% | 109 | $3K | |
| 99403 | <1% | 33 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 144 | $2K |
| 97012 | <1% | 121 | $2K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 50 | $1K |
| 0012A | <1% | 13 | $446.69 | |
| 0002A | <1% | 18 | $440.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 31 | $247.20 |
| 96159 | <1% | 186 | $219.05 | |
| 87081 | <1% | 29 | $129.92 | |
| 81000 | <1% | 52 | $123.64 | |
| 0011A | <1% | 13 | $80.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 38 | $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 | <1% | 146 | $0.85 |
| 91301 | <1% | 509 | $0.01 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 551 | $0.00 |
| 91300 | 0% | 672 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 21 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 716 | $0.00 |
| 91307 | 0% | 268 | $0.00 | |
| 97026 | 0% | 28 | $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 officialFRESHMAN HOUSE, SHARI (PRESIDENT,NURSE PRACTITIONER)