Medicaid Provider Spending

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

LEGACY EMANUEL HOSPITAL & HEALTH CENTER

NPI: 1316129232 · SAINT HELENS, OR 97051 · Rural Health Clinic/Center · NPI assigned 12/03/2007

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

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

$1.78M
Total Medicaid Paid
25,250
Total Claims
22,576
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJENSEN, SARAH (VP FINANCE)
Parent OrganizationLEGACY EMANUEL HOSPITAL & HEALTH CENTER
NPI Enumeration Date12/03/2007

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
LEGACY MOUNT HOOD MEDICAL CENTER GRESHAM OR $43.16M
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
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 4,658 $360K
2019 4,284 $299K
2020 3,517 $220K
2021 3,065 $206K
2022 2,444 $197K
2023 2,944 $247K
2024 4,338 $255K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,617 11,925 $1.11M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,592 4,265 $321K
99215 Prolong outpt/office vis 1,885 1,591 $199K
90832 Psychotherapy, 30 minutes with patient 562 404 $36K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,957 1,806 $21K
90791 Psychiatric diagnostic evaluation 130 126 $17K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 159 153 $17K
90686 790 781 $14K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 97 94 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 56 52 $7K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 62 54 $6K
0012A 105 105 $4K
0011A 98 98 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 30 29 $3K
99442 36 35 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 109 109 $3K
99173 477 468 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 26 26 $1K
92551 59 56 $685.56
96160 255 253 $656.03
90651 24 24 $527.04
90670 16 16 $329.40
90647 15 15 $307.44
90723 14 14 $285.48
90680 13 13 $263.52
90674 12 12 $204.00
83036 Hemoglobin; glycosylated (A1C) 42 40 $197.71