Clinic
Spectra Health
Spectra Health was paid $3.22M by Medicaid between Jan 2018 and Nov 2024, across 45 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoSPECTRA HEALTH
GRAND FORKS, ND 58201
GRAND FORKS, ND 58201
33aNPI1114343423assigned 03/11/2014
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.22M
24GClaims34,398
24DCodes billed45
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in North Dakota
Rank by total paid#3 of 19
Median peer was paid$221K
This provider vs. median15×
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 | 1,711 | $141K | |
| 2019 | 2,469 | $196K | |
| 2020 | 3,164 | $285K | |
| 2021 | 7,266 | $520K | |
| 2022 | 5,878 | $610K | |
| 2023 | 7,639 | $818K | |
| 2024incomplete | 6,271 | $653K |
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 | 59% | 11,614 | 9,167 | $1.91M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 5,910 | 4,492 | $781K |
| H2035 | Alcohol and/or other drug treatment program, per hour | 5.8% | 1,927 | 801 | $186K |
| 80305 | 2.1% | 6,063 | 4,453 | $68K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.7% | 389 | 297 | $56K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.4% | 436 | 238 | $46K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.3% | 396 | 287 | $41K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.1% | 201 | 191 | $35K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 40 | 37 | $15K |
| H0001 | Alcohol and/or drug assessment | <1% | 69 | 69 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,286 | 1,080 | $11K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 543 | 411 | $10K |
33 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 381 | $6K |
| 0012A | <1% | 128 | $5K | |
| 99188 | <1% | 122 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,250 | $5K |
| Q3014 | Telehealth originating site facility fee | <1% | 157 | $4K |
| 0011A | <1% | 153 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $3K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 49 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 700 | $2K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 31 | $2K |
| 0002A | <1% | 32 | $2K | |
| 0001A | <1% | 38 | $2K | |
| 91322 | <1% | 19 | $1K | |
| 92015 | Determination of refractive state | <1% | 172 | $1K |
| 90686 | <1% | 390 | $1K | |
| 90480 | <1% | 72 | $1K | |
| 0064A | <1% | 15 | $1K | |
| 86480 | <1% | 18 | $884.20 | |
| 90673 | <1% | 17 | $788.61 | |
| 86580 | <1% | 68 | $554.89 | |
| 86803 | <1% | 19 | $218.39 | |
| 86703 | <1% | 20 | $209.81 | |
| G0467 | Community health center visit, returning patient | <1% | 59 | $199.92 |
| 86592 | <1% | 20 | $65.33 | |
| 91300 | 0% | 116 | $0.00 | |
| 90633 | 0% | 14 | $0.00 | |
| 90713 | 0% | 20 | $0.00 | |
| 91301 | 0% | 329 | $0.00 | |
| 90651 | 0% | 13 | $0.00 | |
| 91306 | 0% | 15 | $0.00 | |
| 90656 | 0% | 45 | $0.00 | |
| 90744 | 0% | 15 | $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 officialSHANNON, BEN (OPERATIONS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Spectra Health | Grand Forks, ND | $5.55M |
| Spectra Health | Larimore, ND | $259K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.