Medicaid Provider Spending

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

CASCADIA HEALTH

NPI: 1336196401 · PORTLAND, OR 97232 · Multi-Specialty Clinic/Center · NPI assigned 05/27/2006

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

Authorized official MCALPINE, HEATHER controls 13+ related entities in our dataset. Read more

$76.79M
Total Medicaid Paid
699,490
Total Claims
326,097
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCALPINE, HEATHER (CREDENTIALING SPECIALIST)
Parent OrganizationCASCADIA HEALTH
NPI Enumeration Date05/27/2006

Related Entities

Other providers sharing the same authorized official: MCALPINE, HEATHER

ProviderCityStateTotal Paid
CASCADIA HEALTH PORTLAND OR $14.24M
CASCADIA HEALTH PORTLAND OR $12.15M
CASCADIA HEALTH PORTLAND OR $8.15M
CASCADIA HEALTH PORTLAND OR $7.84M
CASCADIA HEALTH OREGON CITY OR $2.31M
CASCADIA HEALTH PORTLAND OR $1.55M
CASCADIA HEALTH PORTLAND OR $1.15M
CASCADIA HEALTH MILWAUKIE OR $184K
CASCADIA HEALTH PORTLAND OR $176K
CASCADIA HEALTH OREGON CITY OR $40K
CASCADIA HEALTH GLADSTONE OR $25K
CASCADIA HEALTH PORTLAND OR $18K
CASCADIA HEALTH PORTLAND OR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 128,686 $14.23M
2019 125,889 $12.64M
2020 114,457 $11.24M
2021 111,644 $10.94M
2022 90,641 $10.88M
2023 80,901 $11.48M
2024 47,272 $5.37M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 214,495 143,724 $35.15M
H2018 Psychosocial rehabilitation services, per diem 113,393 6,595 $14.49M
H2013 Psychiatric health facility service, per diem 17,527 992 $4.94M
H2014 Skills training and development, per 15 minutes 81,148 19,005 $4.22M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 37,649 30,393 $3.37M
T1016 Case management, each 15 minutes 33,963 17,733 $2.63M
H0031 Mental health assessment, by non-physician 12,738 12,396 $2.61M
T1040 Medicaid certified community behavioral health clinic services, per diem 9,700 3,871 $1.67M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,926 17,387 $1.17M
H2010 Comprehensive medication services, per 15 minutes 18,146 13,685 $1.14M
H0032 Mental health service plan development by non-physician 9,598 9,291 $808K
H0038 Self-help/peer services, per 15 minutes 11,271 5,475 $723K
H2032 Activity therapy, per 15 minutes 22,997 5,539 $676K
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 16,257 4,834 $598K
H0005 Alcohol and/or drug services; group counseling by a clinician 10,199 4,337 $525K
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 10,392 5,323 $274K
90853 Group psychotherapy (other than of a multiple-family group) 4,213 2,114 $218K
90847 Family psychotherapy with the patient present, 50 minutes 1,093 712 $203K
90882 2,279 1,758 $186K
H0045 Respite care services, not in the home, per diem 16,954 1,393 $185K
99215 Prolong outpt/office vis 1,607 1,162 $170K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,241 1,051 $147K
90899 1,323 725 $131K
90792 Psychiatric diagnostic evaluation with medical services 1,606 1,532 $120K
H0006 Alcohol and/or drug services; case management 2,015 1,114 $87K
90887 446 328 $71K
99443 512 370 $40K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,436 1,195 $39K
90836 261 202 $34K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 448 433 $34K
H0001 Alcohol and/or drug assessment 139 139 $28K
H2027 Psychoeducational service, per 15 minutes 296 170 $24K
H0034 Medication training and support, per 15 minutes 178 142 $19K
99442 257 181 $12K
90839 1,663 1,636 $12K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 78 78 $9K
H2011 Crisis intervention service, per 15 minutes 145 133 $5K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 184 129 $5K
98940 197 136 $4K
90791 Psychiatric diagnostic evaluation 54 52 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 13 $2K
H2023 Supported employment, per 15 minutes 7,122 3,043 $2K
99441 44 37 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K
99201 14 13 $584.38
97810 36 24 $412.67
97811 36 24 $206.48
99348 13 12 $9.03
H0039 Assertive community treatment, face-to-face, per 15 minutes 13,175 5,454 $0.00