Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LEGACY MOUNT HOOD MEDICAL CENTER

NPI: 1255354700 · GRESHAM, OR 97030 · Clinic/Center · NPI assigned 07/25/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JENSEN, SARAH controls 20+ related entities in our dataset. Read more

$43.16M
Total Medicaid Paid
513,568
Total Claims
470,668
Beneficiaries
105
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJENSEN, SARAH (VP FINANCE)
NPI Enumeration Date07/25/2006

Related Entities

Other providers sharing the same authorized official: JENSEN, SARAH

ProviderCityStateTotal Paid
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $64.24M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $50.80M
LEGACY CLINICS LLC PORTLAND OR $48.79M
LEGACY SALMON CREEK HOSPITAL VANCOUVER WA $48.76M
SILVERTON HEALTH SILVERTON OR $29.18M
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND OR $18.33M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $17.03M
LEGACY MERIDIAN PARK HOSPITAL TUALATIN OR $13.28M
LEGACY SALMON CREEK HOSPITAL VANCOUVER WA $9.93M
SILVERTON HEALTH SILVERTON OR $9.72M
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND OR $3.90M
LEGACY MERIDIAN PARK HOSPITAL TUALATIN OR $2.38M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER SAINT HELENS OR $1.78M
SILVERTON HEALTH SILVERTON OR $1.62M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $1.48M
SILVERTON HEALTH MOUNT ANGEL OR $1.18M
LEGACY CLINICS LLC SANDY OR $654K
LEGACY EMANUEL HOSPITAL & HEALTH CENTER SAINT HELENS OR $64K
REGIONAL DERMATOLOGY, LLC FESTUS MO $38K
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND OR $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 70,537 $4.43M
2019 68,238 $5.41M
2020 61,569 $5.14M
2021 64,300 $5.41M
2022 85,706 $6.87M
2023 86,724 $7.98M
2024 76,494 $7.91M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 48,306 45,241 $12.22M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 34,142 31,599 $11.31M
99283 Emergency department visit for the evaluation and management, moderate severity 58,325 54,851 $10.25M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 27,659 25,678 $3.61M
99282 Emergency department visit for the evaluation and management, low to moderate severity 9,524 8,371 $915K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,929 1,854 $759K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 7,394 7,054 $676K
96375 Therapeutic injection; each additional sequential IV push 14,293 13,134 $539K
96361 Intravenous infusion, hydration; each additional hour 8,880 7,983 $505K
71045 Radiologic examination, chest; single view 8,350 7,686 $368K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,614 3,907 $322K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 489 466 $302K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,106 1,049 $257K
71046 Radiologic examination, chest; 2 views 3,750 3,583 $201K
45380 Colonoscopy, flexible; with biopsy, single or multiple 310 301 $173K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 5,694 4,051 $141K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 2,020 1,941 $114K
70450 Computed tomography, head or brain; without contrast material 875 809 $101K
95810 Polysomnography; sleep staging with 4 or more additional parameters 153 148 $86K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 394 310 $74K
95811 95 86 $46K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 228 214 $30K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 27,893 25,668 $24K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 220 210 $21K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,217 3,444 $20K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 199 192 $14K
80053 Comprehensive metabolic panel 44,302 40,792 $12K
87631 1,617 1,556 $8K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 15 14 $7K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 691 668 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 56,566 52,097 $7K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 12 $4K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 128 63 $4K
82947 2,128 2,030 $3K
84703 18,376 17,352 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 559 523 $2K
99215 Prolong outpt/office vis 13 13 $2K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,403 1,213 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 66 63 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 65 63 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 66 63 $1K
83690 12,643 11,925 $1K
93308 78 61 $1K
94060 45 41 $743.22
81003 18,843 17,608 $715.23
80048 Basic metabolic panel (calcium, ionized) 12,210 11,335 $710.00
93272 40 37 $702.83
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 268 260 $560.00
84484 11,225 10,227 $508.80
99442 29 27 $506.16
73630 45 38 $473.50
J2704 Injection, propofol, 10 mg 11,272 6,772 $464.36
88305 Level IV - Surgical pathology, gross and microscopic examination 4,446 4,255 $330.45
36415 Collection of venous blood by venipuncture 8,862 8,107 $308.61
36592 43 41 $297.38
81001 5,587 5,102 $245.36
93321 78 61 $244.01
85027 3,598 3,390 $178.62
94726 29 25 $174.68
94729 32 28 $140.70
87430 410 401 $132.00
J1885 Injection, ketorolac tromethamine, per 15 mg 10,779 10,079 $69.49
J3490 Unclassified drugs 377 344 $64.16
A9270 Non-covered item or service 240 195 $55.30
J2405 Injection, ondansetron hydrochloride, per 1 mg 6,611 6,182 $37.41
87086 Culture, bacterial; quantitative colony count, urine 329 316 $31.87
80076 280 257 $12.00
85379 121 118 $8.14
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,065 3,529 $7.20
J3010 Injection, fentanyl citrate, 0.1 mg 132 125 $5.25
J2270 Injection, morphine sulfate, up to 10 mg 397 362 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 62 61 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 54 51 $0.00
80299 44 41 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 13 13 $0.00
80143 74 62 $0.00
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 14 14 $0.00
73562 55 51 $0.00
85610 63 57 $0.00
80179 73 61 $0.00
72100 13 13 $0.00
87210 12 12 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 12 12 $0.00
83605 28 27 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 247 232 $0.00
J2060 Injection, lorazepam, 2 mg 197 127 $0.00
82077 437 410 $0.00
J0690 Injection, cefazolin sodium, 500 mg 286 259 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 259 248 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 26 25 $0.00
83735 728 683 $0.00
36416 179 165 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 76 76 $0.00
83880 55 50 $0.00
J8540 Dexamethasone, oral, 0.25 mg 87 45 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 72 72 $0.00
J1630 Injection, haloperidol, up to 5 mg 14 13 $0.00
J1790 Injection, droperidol, up to 5 mg 99 91 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00
87070 12 12 $0.00
88342 12 12 $0.00
G0378 Hospital observation service, per hour 16 12 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 12 12 $0.00
85730 15 13 $0.00
J1170 Injection, hydromorphone, up to 4 mg 29 24 $0.00