PROVIDENCE HEALTH & SERVICES - OREGON · NPI 1124129903

$2.70M

Total Medicaid Paid

86,140

Total Claims

80,970

Beneficiaries

52

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		31,928	29,664	$1.50M
99213		14,926	14,208	$636K
90686		6,135	5,971	$95K
99215	Prolong outpt/office vis	2,080	1,937	$91K
99391		1,019	944	$78K
90791		552	509	$67K
90832		1,268	1,044	$56K
99392		671	663	$45K
G2211	Complex e/m visit add on	2,835	2,717	$40K
99393		322	311	$28K
90471		1,205	1,184	$12K
96110		681	674	$7K
91320		66	63	$5K
99394		84	80	$5K
90480		195	188	$4K
90670		108	104	$3K
G0108	Diab manage trn per indiv	44	39	$2K
90656		164	162	$2K
96150		85	83	$2K
0124A		64	64	$2K
99442		72	67	$2K
99441		87	79	$2K
96152		42	27	$1K
99443		38	35	$1K
0001A		37	30	$1K
0002A		27	27	$1K
90698		44	42	$966.24
0072A		34	25	$960.00
90685		43	43	$944.28
0054A		30	29	$920.00
99212		27	26	$654.68
0071A		16	16	$600.00
99421		182	164	$513.92
90744		14	13	$307.44
90680		13	13	$285.48
90707		12	12	$263.52
90633		12	12	$263.52
0004A		14	12	$240.00
98968		16	15	$150.00
96127		13	12	$91.79
96161		18	18	$80.22
81025		12	12	$68.90
81003		15	13	$1.74
3078F		8,852	8,271	$0.00
90461		13	13	$0.00
90460		15	15	$0.00
3074F		9,213	8,587	$0.00
3079F		342	329	$0.00
G8510	Scr dep neg, no plan reqd	2,347	2,296	$0.00
90834		12	12	$0.00
3075F		53	53	$0.00
H0049	Alcohol/drug screening	43	43	$0.00

Medicaid Provider Spending