Clinic
One Family Medical Group, LLC
One Family Medical Group, LLC was paid $4K by Medicaid between Jan 2018 and Jan 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoONE FAMILY MEDICAL GROUP, LLC
GRANTS PASS, OR 97526
GRANTS PASS, OR 97526
33aNPI1306207006assigned 03/09/2016
33bProvider typePrimary Care Clinic/Center
28Total paid$4K
24GClaims1,525
24DCodes billed6
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Oregon
Rank by total paid#55 of 71
Median peer was paid$39K
This provider vs. median0.1×
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 | 382 | $703.47 | |
| 2019 | 306 | $387.18 | |
| 2020 | 172 | $505.80 | |
| 2021 | 95 | $2K | |
| 2022 | 368 | $470.84 | |
| 2023 | 187 | $229.73 | |
| 2024incomplete | 15 | $25.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 57% | 1,203 | 1,072 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 40% | 39 | 33 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 153 | 146 | $124.81 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 35 | 34 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 0% | 39 | 38 | $0.00 |
| 96160 | 0% | 56 | 51 | $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 officialRUMREY, TORI (PROVIDER)