Medicaid Provider Spending

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

GOOD SHEPHERD HEALTH CARE SYSTEM

NPI: 1336198159 · HERMISTON, OR 97838 · Pediatric Gastroenterology Physician · NPI assigned 05/09/2006

$4.45M
Total Medicaid Paid
90,948
Total Claims
82,286
Beneficiaries
68
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPETER, JAN (CHIEF FINANCIAL OFFICER)
Parent OrganizationGOOD SHEPHERD HEALTH CARE SYSTEM
NPI Enumeration Date05/09/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,107 $722K
2019 15,519 $887K
2020 11,556 $641K
2021 14,419 $783K
2022 15,831 $660K
2023 11,602 $421K
2024 9,914 $336K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,560 25,476 $1.67M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,884 13,960 $1.06M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,452 4,889 $435K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,537 3,490 $245K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,801 2,773 $244K
98942 5,557 2,980 $225K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,273 1,235 $82K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,371 1,299 $57K
90670 3,180 3,125 $46K
90686 2,767 2,735 $40K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,909 3,808 $36K
99215 Prolong outpt/office vis 292 267 $32K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 457 451 $30K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 917 590 $30K
90723 2,024 1,987 $29K
90680 1,964 1,922 $28K
90647 1,874 1,843 $27K
98943 707 373 $13K
92551 1,874 1,813 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 90 90 $12K
99441 649 631 $11K
90633 633 625 $9K
99239 Hospital discharge day management, more than 30 minutes 51 48 $5K
99205 Prolong outpt/office vis 33 33 $5K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 28 28 $5K
99460 41 39 $5K
90677 300 293 $4K
99238 Hospital discharge day management, 30 minutes or less 32 26 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 59 52 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 191 188 $4K
90685 257 250 $3K
99381 16 15 $3K
90656 215 211 $3K
96127 662 584 $3K
99173 1,800 1,749 $3K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 26 24 $3K
90697 182 177 $3K
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 202 202 $2K
90671 165 162 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 179 175 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 27 27 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 27 26 $2K
90698 102 101 $1K
90710 88 87 $1K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 40 24 $1K
59025 Fetal non-stress test 30 25 $983.56
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) 47 46 $555.63
99442 15 15 $542.40
90651 38 37 $516.46
90381 30 30 $440.51
99459 26 26 $438.46
96160 110 104 $413.34
90716 26 25 $364.56
36415 Collection of venous blood by venipuncture 126 114 $324.60
90715 15 13 $323.40
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 29 29 $297.73
90734 14 14 $212.66
73630 28 26 $192.68
90707 14 13 $182.28
90380 12 12 $167.09
81025 15 14 $130.57
80053 Comprehensive metabolic panel 13 12 $106.86
51798 12 12 $99.48
83655 276 270 $84.80
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 13 13 $55.80
87086 Culture, bacterial; quantitative colony count, urine 12 12 $43.96
85018 284 279 $13.28
36416 268 262 $0.00