Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Cascadia Health

Cascadia Health was paid $1.55M by Medicaid between Feb 2018 and Dec 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.

33Billing provider infoCASCADIA HEALTH
PORTLAND, OR 97220
33aNPI1144722935assigned 03/07/2018
28Total paid$1.55M
24GClaims28,197
24DCodes billed40
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Oregon

Rank by total paid#24 of 90
Median peer was paid$254K
This provider vs. median6.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MCALPINE, HEATHER controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20181,798$108K
20193,218$153K
20202,849$116K
20213,257$150K
20224,031$246K
20235,842$351K
2024incomplete7,202$424K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 45% 7,720 6,822 $689K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 8,142 6,812 $482K
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 7.7% 942 855 $119K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.0% 740 672 $61K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.8% 234 207 $27K
96158 1.3% 381 266 $19K
97802 1.2% 316 260 $19K
97803 1.2% 418 338 $19K
36415 Collection of venous blood by venipuncture 1.1% 5,222 4,711 $18K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 630 372 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 704 679 $13K
96156 <1% 184 176 $13K
28 more codes
98940 <1% 706 $12K
91322 <1% 84 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 274 $9K
99443 <1% 51 $4K
90756 <1% 150 $3K
90480 <1% 84 $3K
90656 <1% 140 $3K
0124A <1% 56 $2K
90688 <1% 95 $1K
90686 <1% 83 $1K
83036 Hemoglobin; glycosylated (A1C) <1% 207 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 74 $1K
99442 <1% 17 $950.62
90732 <1% 12 $932.58
90746 <1% 14 $914.94
99406 <1% 55 $547.76
96160 <1% 237 $508.72
0064A <1% 16 $443.81
99490 Ccm add 20min <1% 15 $415.27
98968 <1% 13 $343.67
90472 Immunization administration, each additional vaccine (list separately) <1% 18 $305.63
97810 <1% 19 $227.68
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 14 $175.56
97811 <1% 19 $113.92
81003 <1% 13 $14.22
91312 <1% 69 $0.01
91306 0% 17 $0.00
91313 0% 12 $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 officialMCALPINE, HEATHER (CREDENTIALING SPECIALIST)
Parent organizationCASCADIA HEALTH
Same official

Other billing entities under MCALPINE, HEATHER

Full network →
ProviderLocationPaid
Cascadia HealthPortland, OR$76.79M
Cascadia HealthPortland, OR$14.24M
Cascadia HealthPortland, OR$12.15M
Cascadia HealthPortland, OR$8.15M
Cascadia HealthPortland, OR$7.84M
Cascadia HealthOregon City, OR$2.31M
Cascadia HealthPortland, OR$1.15M
Cascadia HealthMilwaukie, OR$184K
Cascadia HealthPortland, OR$176K
Cascadia HealthOregon City, OR$40K
Cascadia HealthGladstone, OR$25K
Cascadia HealthPortland, OR$18K
Cascadia HealthPortland, OR$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.