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

Kaiser Foundation Hospitals

Kaiser Foundation Hospitals was paid $1.82M by Medicaid between Jan 2018 and Jun 2019, across 122 billing codes. Its largest line is 99283, emergency room visit (moderate) — 52% of everything it billed.

33Billing provider infoKAISER FOUNDATION HOSPITALS
CLACKAMAS, OR 97015
33aNPI1235512765assigned 07/01/2015
28Total paid$1.82M
24GClaims16,645
24DCodes billed122
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers

Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Oregon

Rank by total paid#9 of 52
Median peer was paid$518K
This provider vs. median3.5×

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

$0$500K$1.0M2018201920202021202220232024
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
201814,849$1.41M
20191,796$410K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 52% 2,326 2,268 $938K
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 9.5% 759 741 $173K
99282 Emergency department visit for the evaluation and management, low to moderate severity 8.9% 905 871 $162K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.7% 517 504 $85K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.9% 329 318 $35K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1.9% 329 318 $35K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.7% 206 194 $31K
84443 Thyroid stimulating hormone (TSH) 1.4% 503 477 $25K
83036 Hemoglobin; glycosylated (A1C) <1% 610 596 $17K
77067 Screening mammography, bilateral, including computer-aided detection <1% 44 44 $14K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 183 176 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 525 520 $13K
110 more codes
80061 Lipid panel <1% 339 $13K
71046 Radiologic examination, chest; 2 views <1% 176 $12K
87631 <1% 85 $12K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,232 $12K
80053 Comprehensive metabolic panel <1% 492 $11K
87506 <1% 16 $10K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 88 $9K
86780 <1% 211 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 202 $7K
85027 <1% 381 $7K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 91 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 94 $7K
88307 <1% 23 $6K
82607 <1% 124 $5K
88142 <1% 91 $5K
80048 Basic metabolic panel (calcium, ionized) <1% 227 $5K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 47 $5K
76801 <1% 20 $5K
86803 <1% 109 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 14 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 18 $4K
82728 <1% 156 $4K
87529 <1% 19 $4K
87536 <1% 16 $4K
87340 <1% 122 $4K
86850 <1% 382 $4K
84702 <1% 78 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 14 $3K
87086 Culture, bacterial; quantitative colony count, urine <1% 147 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 222 $3K
81001 <1% 384 $3K
81025 <1% 163 $3K
82565 <1% 207 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 26 $3K
87653 <1% 24 $3K
87522 Neg quan hep c or qual rna <1% 19 $2K
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous <1% 38 $2K
83550 <1% 89 $2K
90472 Immunization administration, each additional vaccine (list separately) <1% 80 $2K
85610 <1% 211 $2K
84460 <1% 132 $2K
80076 <1% 77 $2K
83540 <1% 89 $2K
88141 <1% 22 $2K
84403 <1% 33 $2K
83880 <1% 38 $2K
82570 <1% 120 $2K
84439 <1% 60 $2K
87186 <1% 65 $2K
84153 <1% 31 $2K
87077 <1% 61 $2K
83970 <1% 14 $2K
59025 Fetal non-stress test <1% 13 $2K
86787 <1% 37 $1K
87081 <1% 71 $1K
86140 <1% 84 $1K
83516 <1% 39 $1K
82670 <1% 15 $1K
0502F <1% 13 $1K
80069 <1% 59 $1K
82746 <1% 27 $1K
90686 <1% 286 $1K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 14 $1K
83001 <1% 20 $1K
82042 <1% 78 $1K
86706 <1% 33 $1K
87210 <1% 77 $975.00
84146 <1% 16 $944.00
82274 <1% 19 $931.00
86762 <1% 22 $924.00
84132 <1% 77 $896.00
87070 <1% 35 $884.00
86708 <1% 22 $836.00
81003 <1% 125 $827.00
87088 <1% 38 $825.00
86038 <1% 23 $814.00
83735 <1% 43 $798.00
86200 <1% 19 $720.00
86704 <1% 19 $703.00
83690 <1% 45 $672.00
86003 <1% 17 $640.00
84165 <1% 14 $636.00
82784 <1% 30 $620.00
92227 <1% 24 $609.00
82951 <1% 26 $592.00
84450 <1% 38 $543.00
82950 <1% 36 $540.00
84550 <1% 38 $481.00
82550 <1% 22 $440.00
87205 <1% 35 $429.00
82105 <1% 23 $415.00
86431 <1% 24 $408.00
86900 <1% 96 $376.00
86901 <1% 96 $376.00
82248 <1% 30 $375.00
84156 <1% 41 $374.00
82040 <1% 27 $330.00
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 13 $260.00
80178 <1% 14 $255.00
84100 <1% 20 $240.00
85652 <1% 30 $232.00
86592 <1% 17 $208.00
84075 <1% 13 $176.00
81507 <1% 14 $154.00
85014 <1% 16 $112.00
85018 <1% 16 $112.00
87338 <1% 12 $96.00
83655 <1% 15 $75.00
84402 <1% 12 $72.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 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 officialBARTON, SHAWN (EXECUTIVE DIRECTOR, REVENUE CYCLE)
Parent organizationKAISER FOUNDATION HOSPITALS
Same official

Other billing entities under BARTON, SHAWN

Full network →
ProviderLocationPaid
Kaiser Foundation HospitalsClackamas, OR$18.00M
Kaiser Foundation HospitalsPortland, OR$2.33M
Kaiser Foundation HospitalsClackamas, OR$1.93M
Kaiser Foundation HospitalsSalem, OR$0.00
Kaiser Foundation HospitalsClackamas, OR$0.00

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