Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OR › PORTLAND › KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

NPI: 1184786527 · PORTLAND, OR 97232 · 208000000X

$116.27M
Total Medicaid Paid
1,341,812
Total Claims
1,280,012
Beneficiaries
419
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 177,026 $10.95M
2019 268,942 $18.26M
2020 119,175 $9.27M
2021 171,282 $14.31M
2022 194,974 $18.33M
2023 205,441 $21.96M
2024 204,972 $23.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 162,406 157,350 $25.66M
99214 105,010 100,838 $22.58M
99284 36,414 34,322 $8.07M
99283 30,007 28,452 $3.96M
77067 12,771 12,587 $3.77M
90471 84,368 83,351 $1.99M
71046 41,953 40,239 $1.95M
74177 4,166 4,001 $1.76M
88305 9,393 8,391 $1.38M
99392 5,001 4,972 $1.23M
99391 5,613 5,437 $1.22M
90472 21,413 21,097 $1.13M
87491 14,810 14,216 $1.09M
87591 14,809 14,213 $1.09M
96413 3,843 2,820 $1.09M
93010 77,903 72,416 $1.07M
91320 6,157 6,104 $1.05M
76816 4,184 3,955 $1.04M
99442 11,988 11,333 $928K
90832 7,695 6,877 $905K
97110 7,820 6,515 $863K
99393 3,593 3,574 $844K
76705 5,658 5,500 $786K
78815 332 326 $767K
93306 3,335 3,206 $764K
76805 2,358 2,299 $757K
87880 19,735 19,087 $699K
76830 2,972 2,929 $692K
76801 2,825 2,731 $689K
99212 6,309 6,124 $671K
80307 4,626 4,215 $646K
84443 13,232 12,721 $609K
85025 32,383 28,542 $605K
88142 10,541 10,396 $579K
80053 21,890 19,615 $561K
J0585 Injection,onabotulinumtoxina 555 532 $555K
90480 7,074 7,016 $551K
92004 4,896 4,814 $528K
99203 2,831 2,773 $512K
67028 2,046 1,969 $460K
92015 16,825 16,587 $438K
87389 6,143 5,957 $434K
81420 1,507 1,466 $420K
G0480 Drug test def 1-7 classes 4,327 4,052 $407K
83036 15,828 15,310 $405K
95800 1,299 1,279 $402K
73630 5,802 5,527 $396K
99441 8,723 8,285 $392K
71250 1,332 1,300 $388K
99282 4,652 4,339 $385K
80061 10,093 9,813 $371K
81507 1,763 1,736 $363K
81025 17,652 16,908 $349K
90686 42,930 42,502 $320K
70551 698 684 $317K
92014 2,980 2,903 $291K
87624 2,847 2,781 $290K
86003 1,387 1,209 $275K
87506 456 442 $270K
80048 13,013 12,176 $262K
76770 1,202 1,182 $259K
70553 338 328 $256K
86780 6,566 6,322 $250K
92134 5,174 4,937 $241K
73721 448 436 $238K
99215 Prolong outpt/office vis 829 811 $235K
85027 13,438 12,626 $224K
99421 7,030 6,964 $224K
73564 2,003 1,869 $218K
99394 820 818 $206K
81001 27,197 25,491 $201K
73610 2,783 2,680 $194K
82728 5,407 5,214 $172K
86803 4,140 4,031 $170K
82306 2,382 2,300 $169K
76817 746 724 $164K
64615 521 509 $162K
88307 368 329 $157K
G0328 Fecal blood scrn immunoassay 3,015 2,939 $156K
0002A 3,925 3,892 $153K
92012 1,840 1,743 $150K
0001A 4,047 3,980 $149K
81220 2,373 2,312 $144K
11721 2,810 2,701 $143K
82607 3,539 3,435 $142K
87210 10,643 10,267 $140K
A7034 Nasal application device 2,452 2,402 $140K
73030 2,100 2,002 $138K
87340 4,588 4,469 $137K
88141 2,056 2,036 $134K
0124A 3,490 3,297 $132K
70450 885 827 $132K
71045 9,578 8,182 $125K
0054A 3,145 3,110 $124K
86481 3,530 3,470 $123K
72100 1,440 1,407 $123K
92227 4,077 3,983 $122K
41899 193 186 $120K
83993 2,178 2,148 $119K
97530 595 532 $116K
84702 2,852 2,467 $116K
0004A 3,219 2,993 $110K
76536 472 465 $109K
0064A 2,998 2,840 $106K
99443 843 807 $102K
88342 571 451 $98K
74018 1,514 1,485 $97K
73110 1,146 1,082 $94K
73130 1,241 1,169 $94K
83690 5,769 5,494 $92K
77063 889 884 $92K
87529 461 449 $92K
87653 903 880 $89K
95810 78 77 $89K
87086 4,120 3,811 $87K
87536 366 354 $86K
0071A 2,188 2,116 $85K
99202 556 545 $85K
82565 6,535 5,976 $83K
97161 316 311 $78K
90656 3,572 3,563 $76K
76811 160 157 $74K
0072A 1,830 1,816 $73K
E0601 Cont airway pressure device 183 181 $73K
81003 13,134 12,558 $73K
92507 430 284 $71K
U0003 Cov-19 amp prb hgh thruput 1,003 998 $67K
87077 2,825 2,619 $65K
84403 3,215 3,122 $64K
83550 2,626 2,526 $62K
87522 Neg quan hep c or qual rna 517 502 $62K
A7035 Pos airway press headgear 2,492 2,440 $58K
87798 561 553 $56K
43239 215 205 $56K
84460 3,910 3,672 $55K
87808 1,790 1,752 $54K
99460 294 286 $53K
96110 2,527 2,504 $53K
95806 285 279 $52K
72148 91 90 $51K
87186 2,188 2,064 $51K
0011A 1,516 1,502 $49K
98968 574 535 $49K
73502 588 579 $48K
83516 1,468 1,422 $48K
76642 333 318 $47K
97802 231 217 $46K
83540 2,638 2,532 $46K
72081 783 779 $45K
77080 645 627 $43K
84153 885 863 $43K
0012A 1,188 1,180 $43K
A7030 Cpap full face mask 564 547 $42K
73140 555 539 $41K
85610 5,081 3,311 $40K
82105 3,200 3,123 $40K
76856 208 204 $39K
86140 2,718 2,506 $38K
80076 1,696 1,594 $38K
E0562 Humidifier heated used w pap 269 265 $38K
G0399 Home sleep test/type 3 porta 96 96 $38K
87081 1,887 1,820 $36K
84439 1,397 1,232 $35K
87338 4,338 4,294 $34K
45380 99 94 $33K
86787 892 864 $33K
82042 2,234 2,165 $32K
82670 383 366 $31K
84146 551 529 $30K
99238 205 196 $30K
73562 367 348 $30K
97803 248 236 $30K
86762 713 698 $30K
82746 771 742 $29K
99417 Prolong home eval add 15m 190 181 $29K
45385 86 86 $29K
87070 1,189 1,132 $28K
84132 2,574 2,416 $28K
80069 1,490 1,210 $28K
90662 1,152 1,088 $28K
97165 118 116 $27K
87517 306 294 $27K
83001 500 487 $26K
86706 849 829 $26K
82570 2,108 2,000 $24K
86704 673 657 $22K
86255 232 223 $21K
43235 74 72 $21K
99188 721 719 $21K
84450 1,462 1,403 $20K
92567 588 580 $20K
0052A 514 510 $20K
0134A 556 516 $20K
42820 13 13 $20K
98967 344 330 $20K
88304 371 294 $20K
90679 76 75 $19K
0051A 480 475 $19K
82784 589 557 $19K
96112 97 96 $19K
88341 53 40 $19K
66984 34 27 $19K
81050 1,932 1,784 $18K
91319 460 458 $18K
83735 1,156 958 $18K
90670 3,324 3,249 $18K
A7037 Pos airway pressure tubing 2,063 2,016 $18K
86038 513 491 $18K
A9279 Monitoring feature/devicenoc 267 263 $18K
83970 176 170 $18K
86160 320 263 $17K
96113 54 54 $17K
72050 154 152 $16K
86200 516 502 $16K
99204 53 53 $16K
74176 42 39 $16K
82247 1,292 1,024 $15K
0003A 433 386 $15K
0154A 399 373 $15K
90962 82 75 $15K
20610 106 104 $15K
96417 95 65 $15K
0031A 382 380 $15K
84550 1,199 1,134 $14K
87205 1,145 1,099 $14K
86696 283 259 $14K
82248 1,017 946 $13K
96415 141 109 $13K
93971 167 160 $13K
84165 343 322 $13K
Q5103 Injection, inflectra 13 12 $13K
86708 378 366 $13K
82550 740 687 $13K
0502F 1,957 1,629 $12K
83520 340 326 $12K
96160 1,529 1,522 $12K
84402 2,471 2,420 $12K
98966 371 355 $12K
A7033 Replacement nasal pillows 549 533 $12K
96040 79 77 $12K
82951 382 376 $12K
88112 132 108 $12K
82950 806 790 $11K
71271 25 24 $11K
83498 742 726 $10K
87505 25 25 $10K
83655 2,133 2,120 $10K
84630 1,445 1,440 $10K
0074A 242 241 $10K
U0004 Cov-19 test non-cdc hgh thru 143 140 $10K
83615 586 546 $10K
86361 156 154 $10K
86695 284 258 $9K
82627 150 144 $9K
73221 16 15 $9K
86765 257 242 $9K
59025 70 64 $9K
86431 558 546 $9K
A7038 Pos airway pressure filter 2,368 2,301 $9K
87329 253 246 $8K
84480 204 172 $8K
86592 657 633 $8K
82040 634 614 $8K
0081A 194 194 $8K
84075 552 510 $8K
87040 181 162 $8K
81329 15 15 $8K
88344 20 18 $8K
83002 145 141 $7K
0053A 189 183 $7K
81002 936 745 $7K
91318 214 214 $7K
82103 1,013 1,002 $7K
0111A 166 166 $7K
84432 120 113 $7K
86709 204 199 $6K
84425 652 646 $6K
96367 91 64 $6K
90834 40 38 $6K
92523 12 12 $6K
96372 239 195 $6K
98970 244 239 $6K
99205 Prolong outpt/office vis 12 12 $6K
84100 516 418 $6K
A4604 Tubing with heating element 223 218 $6K
85652 778 752 $6K
97166 25 25 $6K
0073A 138 138 $6K
88312 38 27 $5K
J8540 Oral dexamethasone 315 194 $5K
0082A 132 131 $5K
82533 118 111 $5K
96411 30 25 $5K
Q9967 Locm 300-399mg/ml iodine,1ml 187 184 $5K
82310 403 370 $5K
95819 15 15 $5K
93005 336 319 $5K
0112A 117 117 $5K
72110 38 38 $5K
82977 220 211 $4K
84295 366 347 $4K
86735 112 110 $4K
96158 42 38 $4K
82525 509 506 $4K
0034A 124 117 $4K
86480 105 104 $4K
95886 14 14 $4K
87209 438 423 $4K
92060 29 29 $4K
A9609 F18 fdg, 15 millicuries 38 38 $4K
87101 171 164 $4K
99232 48 25 $4K
64405 15 14 $3K
92002 27 27 $3K
82947 304 289 $3K
73090 63 56 $3K
77072 53 53 $3K
95908 12 12 $3K
84156 349 307 $3K
99233 Prolong inpt eval add15 m 43 13 $3K
87324 102 97 $3K
87449 100 95 $3K
87177 437 422 $3K
92557 40 39 $3K
76886 12 12 $3K
90474 117 116 $3K
G0008 Admin influenza virus vac 1,566 1,440 $3K
92504 37 36 $3K
90698 1,169 1,137 $3K
J7999 Compounded drug, noc 38 37 $3K
87563 26 24 $3K
84244 212 208 $3K
87075 97 94 $3K
86308 203 201 $2K
85014 461 383 $2K
A7039 Filter, non disposable w pap 1,378 1,338 $2K
85018 455 377 $2K
97162 12 12 $2K
72072 24 24 $2K
80178 121 110 $2K
72070 27 26 $2K
82340 132 120 $2K
83883 37 37 $2K
84512 83 81 $2K
11056 14 13 $2K
96375 35 25 $2K
90961 31 24 $2K
80047 61 61 $2K
85730 117 107 $2K
90677 367 364 $2K
99310 Prolong nursin fac eval 15m 29 27 $2K
86376 41 41 $2K
99422 25 24 $2K
83021 29 27 $2K
69210 12 12 $2K
0013A 45 43 $1K
99239 14 12 $1K
86665 15 14 $1K
85390 13 13 $1K
82390 41 41 $1K
84520 127 121 $1K
87593 17 17 $1K
73560 14 13 $1K
76882 13 12 $1K
99201 14 14 $1K
94010 44 27 $1K
73100 15 13 $1K
82088 126 122 $1K
85007 118 111 $1K
99231 23 12 $978.59
73070 14 13 $847.00
85045 89 78 $828.00
84446 166 165 $823.20
84255 56 56 $733.60
82397 12 12 $732.20
84590 149 148 $672.00
90715 12 12 $648.00
90648 708 702 $638.00
72170 12 12 $623.00
86664 13 13 $598.00
92587 12 12 $585.00
J7030 Normal saline solution infus 155 77 $582.17
90744 297 285 $581.09
86800 102 99 $542.28
86663 13 13 $507.00
82435 34 33 $462.00
86812 24 24 $440.00
80164 13 13 $440.00
99281 12 12 $429.44
51798 14 14 $394.00
96152 75 61 $359.10
82952 29 29 $348.00
99499 14 14 $337.00
90681 117 116 $328.69
84445 13 12 $327.60
82465 28 24 $325.00
82530 15 14 $267.12
82157 14 13 $258.72
G0500 Mod sedat endo service >5yrs 137 131 $235.20
80051 13 12 $231.00
82705 25 25 $214.20
84681 13 12 $211.68
90723 324 321 $198.00
83090 15 15 $184.95
82239 17 12 $176.40
86593 13 12 $156.00
90633 366 366 $103.92
G1004 Cdsm ndsc 7,273 6,492 $53.89
99024 265 249 $1.07
90611 53 53 $0.26
G8916 Pt w iv ab given on time 528 507 $0.00
90651 89 89 $0.00
99153 Mod sedat endo service >5yrs 26 26 $0.00
G8907 Pt doc no events on discharg 2,768 2,633 $0.00
G8918 Pt w/o preop order iv ab pro 2,035 1,935 $0.00
99152 58 56 $0.00
99337 12 12 $0.00
90700 12 12 $0.00
90734 25 25 $0.00