GRANDE RONDE HOSPITAL, INC.
NPI: 1174553929
· LA GRANDE, OR 97850
· Primary Care Clinic/Center
· NPI assigned 07/04/2006
$231K
Total Medicaid Paid
Provider Details
| Authorized Official | DAVIS, JEREMY (PRESIDENT/CEO) |
| NPI Enumeration Date | 07/04/2006 |
Related Entities
Other providers sharing the same authorized official: DAVIS, JEREMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
81 |
$6K |
| 2019 |
169 |
$10K |
| 2020 |
24 |
$1K |
| 2021 |
590 |
$8K |
| 2022 |
517 |
$27K |
| 2023 |
1,363 |
$86K |
| 2024 |
1,352 |
$93K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,484 |
3,418 |
$205K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
375 |
364 |
$23K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
31 |
31 |
$3K |
| 90686 |
|
12 |
12 |
$228.36 |
| 81025 |
|
27 |
27 |
$155.63 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
13 |
13 |
$147.60 |
| 90837 |
Psychotherapy, 53 minutes with patient |
117 |
82 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
22 |
14 |
$0.00 |
| 99024 |
|
15 |
13 |
$0.00 |