Clinic
Tuality Healthcare
Tuality Healthcare was paid $105K by Medicaid between Sep 2021 and Dec 2023, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
33Billing provider infoTUALITY HEALTHCARE
HILLSBORO, OR 97123
HILLSBORO, OR 97123
33aNPI1174602494assigned 11/06/2006
33bProvider typeUrgent Care Clinic/Center
28Total paid$105K
24GClaims1,507
24DCodes billed6
24AFirst – last monthSep 2021 – Dec 2023
Compared with peers
Next to other Urgent Care Clinic/Center providers in Oregon
Rank by total paid#16 of 20
Median peer was paid$636K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 178 | $13K | |
| 2022 | 880 | $60K | |
| 2023 | 449 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 76% | 1,157 | 1,124 | $80K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 156 | 156 | $15K |
| 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 | 9.4% | 101 | 98 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 37 | 37 | $597.82 |
| 96127 | <1% | 43 | 43 | $170.58 | |
| 81003 | <1% | 13 | 13 | $29.25 |
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 officialJAMES-NIELSEN, LORI (PRESIDENT & CEO)
Parent organizationTUALITY HEALTHCARE
| Provider | Location | Paid |
|---|---|---|
| Tuality Healthcare | Hillsboro, OR | $27.82M |
| Tuality Medical Group LLC | Hillsboro, OR | $11.52M |
| Tuality Healthcare | Hillsboro, OR | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.