Managed care
Kaiser Foundation Health Plan of the Northwest
Kaiser Foundation Health Plan of the Northwest was paid $12K by Medicaid between Apr 2018 and Apr 2018, across 10 billing codes. Its largest line is 87591, Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe — 23% of everything it billed.
33Billing provider infoKAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
PORTLAND, OR 97232
PORTLAND, OR 97232
33aNPI1326168345assigned 03/31/2007
33bProvider typeHealth Maintenance Organization
28Total paid$12K
24GClaims209
24DCodes billed10
24AFirst – last monthApr 2018 – Apr 2018
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 | 209 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 23% | 25 | 25 | $3K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 23% | 25 | 25 | $3K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 20% | 15 | 15 | $2K |
| 84443 | Thyroid stimulating hormone (TSH) | 11% | 25 | 25 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | 7.9% | 39 | 39 | $930.00 |
| 82607 | 4.7% | 12 | 12 | $552.00 | |
| 82728 | 3.5% | 15 | 15 | $405.00 | |
| 80053 | Comprehensive metabolic panel | 3.0% | 14 | 14 | $352.00 |
| 85027 | 2.7% | 18 | 18 | $320.00 | |
| 85610 | 1.5% | 21 | 20 | $180.00 |
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, STEPHEN (EXECUTIVE DIRECTOR, REVENUE CYCLE)
| Provider | Location | Paid |
|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Portland, OR | $6.90M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.