Medicaid Provider Spending

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

LEGACY SALMON CREEK HOSPITAL

NPI: 1356357784 · VANCOUVER, WA 98686 · Pediatrics Physician · NPI assigned 07/31/2006

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

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

$9.93M
Total Medicaid Paid
180,114
Total Claims
122,136
Beneficiaries
70
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJENSEN, SARAH (VP FINANCE)
Parent OrganizationLEGACY SALMON CREEK HOSPITAL
NPI Enumeration Date07/31/2006

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
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
LEGACY EMANUEL HOSPITAL & HEALTH CENTER SAINT HELENS OR $1.78M
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 26,283 $1.43M
2019 26,736 $1.48M
2020 21,484 $1.15M
2021 27,933 $1.48M
2022 26,338 $1.55M
2023 26,148 $1.51M
2024 25,192 $1.34M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 36,077 15,531 $2.93M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 40,731 37,149 $2.17M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 37,177 14,847 $1.65M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,688 13,084 $702K
99233 Prolong inpt eval add15 m 13,381 5,957 $612K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 8,297 7,797 $552K
99215 Prolong outpt/office vis 2,042 1,694 $127K
99223 Prolong inpt eval add15 m 1,445 1,420 $119K
76819 Fetal biophysical profile; without non-stress testing 2,246 1,810 $116K
J0585 Injection, onabotulinumtoxina, 1 unit 111 109 $105K
99460 1,147 1,117 $95K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 899 888 $93K
99239 Hospital discharge day management, more than 30 minutes 1,252 1,214 $66K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 758 749 $64K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 470 469 $43K
99238 Hospital discharge day management, 30 minutes or less 866 851 $42K
92609 623 307 $37K
99232 Subsequent hospital care, per day, moderate complexity 1,236 596 $36K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 546 540 $32K
0002A 810 798 $32K
99205 Prolong outpt/office vis 289 284 $29K
0001A 609 607 $24K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 412 384 $24K
76813 309 303 $22K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 329 169 $21K
92526 395 220 $20K
76801 270 267 $20K
99462 556 475 $19K
90686 1,616 1,609 $19K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 166 165 $16K
99241 465 448 $13K
92523 76 75 $9K
36415 Collection of venous blood by venipuncture 3,162 3,020 $9K
64615 125 123 $8K
99220 95 95 $8K
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) 1,846 1,698 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 44 44 $4K
96160 1,946 1,918 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 394 390 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 37 37 $3K
99443 93 90 $3K
80061 Lipid panel 269 267 $3K
99242 59 55 $3K
97803 39 39 $2K
90792 Psychiatric diagnostic evaluation with medical services 26 26 $2K
96158 113 83 $2K
90791 Psychiatric diagnostic evaluation 13 13 $2K
81003 730 616 $1K
99383 12 12 $1K
93000 128 125 $972.01
97802 12 12 $907.47
99442 30 26 $818.22
99441 43 39 $798.63
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) 16 15 $561.51
99222 Initial hospital care, per day, moderate complexity 12 12 $525.52
96127 103 83 $470.60
0012A 13 13 $450.40
96159 57 38 $359.41
90674 12 12 $236.28
73630 17 14 $234.00
90670 15 15 $159.30
90698 14 14 $148.68
90680 13 13 $138.06
90744 13 13 $138.06
90734 12 12 $117.67
51798 25 25 $92.22
83036 Hemoglobin; glycosylated (A1C) 12 12 $82.44
91300 1,234 1,152 $0.00
91307 20 16 $0.00
91301 16 16 $0.00