Managed care
Advanced Wellness Center
Advanced Wellness Center was paid $5.03M by Medicaid between Jan 2018 and Oct 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 16% of everything it billed.
33Billing provider infoADVANCED WELLNESS CENTER
PORTLAND, OR 97214
PORTLAND, OR 97214
33aNPI1275921660assigned 01/07/2015
33bProvider typePreferred Provider Organization
28Total paid$5.03M
24GClaims168,624
24DCodes billed38
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Preferred Provider Organization providers in Oregon
Rank by total paid#1 of 6
Median peer was paid$65K
This provider vs. median78×
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 | 14,428 | $422K | |
| 2019 | 14,417 | $473K | |
| 2020 | 19,751 | $608K | |
| 2021 | 35,496 | $1.21M | |
| 2022 | 46,600 | $1.30M | |
| 2023 | 34,339 | $935K | |
| 2024incomplete | 3,593 | $92K |
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 | 16% | 14,137 | 10,561 | $793K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 12% | 23,322 | 12,901 | $615K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 11% | 17,771 | 10,238 | $571K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 10% | 13,794 | 8,283 | $509K |
| 98943 | 5.6% | 20,839 | 11,879 | $280K | |
| 97810 | 5.5% | 10,689 | 6,247 | $276K | |
| 20553 | 5.4% | 7,295 | 3,776 | $271K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.9% | 3,310 | 3,150 | $244K |
| 76942 | 4.7% | 5,891 | 3,057 | $235K | |
| 97811 | 4.0% | 10,388 | 6,073 | $203K | |
| 95886 | 3.5% | 1,758 | 907 | $177K | |
| L0650 | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | 3.5% | 394 | 351 | $175K |
26 more codes
| 20551 | 2.8% | 6,898 | $143K | |
| 95911 | 2.6% | 1,117 | $130K | |
| 99204 | Doctor's office visit, new patient (more involved) | 2.1% | 850 | $104K |
| 76882 | 1.4% | 2,106 | $72K | |
| 99072 | <1% | 13,871 | $42K | |
| 76881 | <1% | 773 | $31K | |
| 97010 | <1% | 8,480 | $29K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 314 | $25K |
| 72050 | <1% | 880 | $23K | |
| 72100 | <1% | 1,056 | $20K | |
| 72070 | <1% | 946 | $16K | |
| L0174 | Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf | <1% | 63 | $9K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 249 | $7K |
| 98940 | <1% | 338 | $7K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 258 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 191 | $5K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 207 | $5K |
| 97813 | <1% | 87 | $2K | |
| 97802 | <1% | 109 | $2K | |
| 98926 | <1% | 63 | $2K | |
| 97814 | <1% | 87 | $2K | |
| 20550 | <1% | 21 | $430.10 | |
| 72040 | <1% | 12 | $220.32 | |
| 73560 | <1% | 16 | $174.13 | |
| 97139 | <1% | 22 | $21.00 | |
| 97014 | 0% | 22 | $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 officialGABRIEL, MARK (CHIROPRACTOR)
| Provider | Location | Paid |
|---|---|---|
| Advanced Wellness Center LLC | Portland, OR | $833K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.