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.
PORTLAND, OR 97220
Next to other Federally Qualified Health Center (FQHC) providers in Oregon
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,798 | $108K | |
| 2019 | 3,218 | $153K | |
| 2020 | 2,849 | $116K | |
| 2021 | 3,257 | $150K | |
| 2022 | 4,031 | $246K | |
| 2023 | 5,842 | $351K | |
| 2024incomplete | 7,202 | $424K |
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 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Cascadia Health | Portland, OR | $76.79M |
| Cascadia Health | Portland, OR | $14.24M |
| Cascadia Health | Portland, OR | $12.15M |
| Cascadia Health | Portland, OR | $8.15M |
| Cascadia Health | Portland, OR | $7.84M |
| Cascadia Health | Oregon City, OR | $2.31M |
| Cascadia Health | Portland, OR | $1.15M |
| Cascadia Health | Milwaukie, OR | $184K |
| Cascadia Health | Portland, OR | $176K |
| Cascadia Health | Oregon City, OR | $40K |
| Cascadia Health | Gladstone, OR | $25K |
| Cascadia Health | Portland, OR | $18K |
| Cascadia Health | Portland, OR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.