Virginia Garcia Memorial Health Center
Virginia Garcia Memorial Health Center was paid $2.89M by Medicaid between Jan 2018 and Dec 2024, across 117 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
MCMINNVILLE, OR 97128
Next to other Federally Qualified Health Center (FQHC) providers in Oregon
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 19,461 | $681K | |
| 2019 | 18,602 | $762K | |
| 2020 | 16,853 | $472K | |
| 2021 | 20,841 | $354K | |
| 2022 | 17,034 | $224K | |
| 2023 | 19,077 | $147K | |
| 2024incomplete | 39,628 | $249K |
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 | 32% | 24,428 | 21,606 | $934K |
| 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 | 17% | 11,315 | 9,873 | $493K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.5% | 2,304 | 1,672 | $130K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.6% | 4,487 | 4,315 | $105K |
| D1206 | Topical application of fluoride varnish | 3.6% | 6,906 | 6,577 | $105K |
| D0140 | Limited oral evaluation - problem focused | 3.0% | 2,940 | 2,639 | $87K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.7% | 2,229 | 2,091 | $77K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 2,037 | 1,885 | $64K |
| D0274 | Bitewings - four radiographic images | 2.0% | 2,673 | 2,627 | $57K |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 5,947 | 5,605 | $56K |
| 90686 | 1.9% | 3,026 | 2,996 | $55K | |
| D1110 | Prophylaxis - adult | 1.9% | 1,363 | 1,350 | $54K |
105 more codes
| 99442 | 1.8% | 2,968 | $52K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 988 | $47K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 2,420 | $42K |
| 99441 | 1.3% | 4,178 | $38K | |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 1,007 | $38K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 415 | $31K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.0% | 1,984 | $30K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.0% | 10,179 | $29K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 313 | $28K |
| 96158 | <1% | 617 | $24K | |
| 0012A | <1% | 618 | $24K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 739 | $22K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 219 | $21K |
| 0011A | <1% | 593 | $21K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 374 | $20K |
| 96156 | <1% | 324 | $15K | |
| 92552 | <1% | 473 | $15K | |
| 92551 | <1% | 1,068 | $12K | |
| 99443 | <1% | 411 | $10K | |
| 96150 | <1% | 513 | $10K | |
| D1351 | Sealant - per tooth | <1% | 662 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 865 | $8K |
| 96152 | <1% | 429 | $8K | |
| 91320 | <1% | 74 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 370 | $7K |
| D0270 | <1% | 821 | $7K | |
| 98927 | <1% | 136 | $6K | |
| 0064A | <1% | 160 | $6K | |
| 96160 | <1% | 1,858 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 84 | $6K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 398 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 811 | $5K |
| 90674 | <1% | 356 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 39 | $4K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 185 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 331 | $4K |
| 99385 | <1% | 26 | $3K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 240 | $3K |
| 99173 | <1% | 1,725 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 32 | $3K |
| 98967 | <1% | 94 | $2K | |
| 90656 | <1% | 227 | $2K | |
| 90480 | <1% | 109 | $2K | |
| D0240 | <1% | 141 | $2K | |
| 98968 | <1% | 94 | $2K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 35 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 110 | $2K |
| 0002A | <1% | 46 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $2K |
| 0031A | <1% | 40 | $2K | |
| 90715 | <1% | 54 | $1K | |
| 0124A | <1% | 39 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 90651 | <1% | 59 | $1K | |
| 99408 | <1% | 40 | $1K | |
| 99607 | <1% | 95 | $1K | |
| D2331 | <1% | 17 | $1K | |
| 90746 | <1% | 26 | $1K | |
| D9995 | <1% | 415 | $913.50 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $894.12 |
| 0001A | <1% | 38 | $670.16 | |
| 99606 | <1% | 21 | $630.21 | |
| 90734 | <1% | 26 | $570.96 | |
| 90670 | <1% | 26 | $558.55 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 40 | $535.25 |
| D1354 | <1% | 78 | $466.00 | |
| 99605 | <1% | 13 | $455.13 | |
| 90647 | <1% | 13 | $285.48 | |
| 90723 | <1% | 12 | $263.52 | |
| 81025 | <1% | 26 | $158.50 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 78 | $113.88 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 49 | $61.80 |
| G0467 | Community health center visit, returning patient | <1% | 2,031 | $34.35 |
| D0603 | <1% | 3,500 | $27.72 | |
| 81003 | <1% | 16 | $23.92 | |
| D0602 | <1% | 543 | $4.66 | |
| 2000F | <1% | 2,098 | $0.01 | |
| 2001F | <1% | 1,931 | $0.01 | |
| 3074F | <1% | 1,522 | $0.01 | |
| 3079F | <1% | 271 | $0.01 | |
| 3008F | <1% | 1,947 | $0.01 | |
| 1036F | <1% | 1,453 | $0.01 | |
| 2010F | <1% | 2,452 | $0.01 | |
| 91301 | <1% | 893 | $0.01 | |
| 1034F | <1% | 163 | $0.01 | |
| 1159F | <1% | 1,658 | $0.01 | |
| 1160F | <1% | 1,658 | $0.01 | |
| D1330 | 0% | 6,775 | $0.00 | |
| D1310 | 0% | 6,656 | $0.00 | |
| 4037F | 0% | 233 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 67 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 39 | $0.00 |
| 3351F | 0% | 675 | $0.00 | |
| 3075F | 0% | 100 | $0.00 | |
| 91307 | 0% | 64 | $0.00 | |
| 91306 | 0% | 161 | $0.00 | |
| 4010F | 0% | 175 | $0.00 | |
| 91305 | 0% | 13 | $0.00 | |
| 91303 | 0% | 39 | $0.00 | |
| 3078F | 0% | 1,472 | $0.00 | |
| 4040F | 0% | 198 | $0.00 | |
| 4274F | 0% | 843 | $0.00 | |
| 3077F | 0% | 27 | $0.00 | |
| 91312 | 0% | 39 | $0.00 | |
| D9990 | 0% | 26 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Virginia Garcia Memorial Health Center | Cornelius, OR | $4.10M |
| Virginia Garcia Memorial Health Center | Cornelius, OR | $2.34M |
| Virginia Garcia Memorial Health Center | Beaverton, OR | $1.97M |
| Virginia Garcia Memorial Health Center | Hillsboro, OR | $1.87M |
| Virginia Garcia Memorial Health Center | Beaverton, OR | $1.86M |
| Virginia Garcia Memorial Health Center | Beaverton, OR | $1.21M |
| Virginia Garcia Memorial Health Center | Hillsboro, OR | $780K |
| Virginia Garcia Memorial Health Center | Newberg, OR | $678K |
| Virginia Garcia Memorial Health Center | Newberg, OR | $557K |
| Virginia Garcia Memorial Health Center | Hillsboro, OR | $264K |
| Virginia Garcia Memorial Health Center | Beaverton, OR | $193K |
| Virginia Garcia Memorial Health Center | Forest Grove, OR | $175K |
| Virginia Garcia Memorial Health Center | Mcminnville, OR | $104K |
| Virginia Garcia Memorial Health Center | Willamina, OR | $73K |
| Virginia Garcia Memorial Health Center | Hillsboro, OR | $48K |
| Virginia Garcia Memorial Health Center | Tigard, OR | $47K |
| Virginia Garcia Memorial Health Center | Beaverton, OR | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.