Clinic
Kaiser Foundation Hospitals
Kaiser Foundation Hospitals was paid $1.93M by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 45385, Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) — 33% of everything it billed.
33Billing provider infoKAISER FOUNDATION HOSPITALS
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
33aNPI1275619215assigned 10/31/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$1.93M
24GClaims7,239
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Oregon
Rank by total paid#10 of 55
Median peer was paid$153K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2018 | 270 | $0.00 | |
| 2019 | 1,581 | $28K | |
| 2020 | 1,032 | $425K | |
| 2021 | 1,033 | $519K | |
| 2022 | 1,035 | $557K | |
| 2023 | 1,389 | $254K | |
| 2024incomplete | 899 | $149K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 33% | 953 | 938 | $631K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 31% | 1,264 | 1,242 | $595K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 26% | 661 | 652 | $501K |
| 43235 | 7.6% | 221 | 213 | $147K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 2.4% | 58 | 56 | $47K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 52 | 52 | $9K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | <1% | 611 | 578 | $175.66 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | <1% | 1,096 | 1,033 | $59.97 |
| 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) | <1% | 1,671 | 1,645 | $4.81 |
| 99153 | Mod sedat endo service >5yrs | <1% | 350 | 345 | $1.10 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 0% | 302 | 286 | $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
| Provider | Location | Paid |
|---|---|---|
| Kaiser Foundation Hospitals | Clackamas, OR | $18.00M |
| Kaiser Foundation Hospitals | Portland, OR | $2.33M |
| Kaiser Foundation Hospitals | Clackamas, OR | $1.82M |
| Kaiser Foundation Hospitals | Salem, OR | $0.00 |
| Kaiser Foundation Hospitals | Clackamas, OR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.