Physician
Legacy Salmon Creek Hospital
Legacy Salmon Creek Hospital was paid $9.93M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 30% of everything it billed.
33Billing provider infoLEGACY SALMON CREEK HOSPITAL
VANCOUVER, WA 98686
VANCOUVER, WA 98686
33aNPI1356357784assigned 07/31/2006
33bProvider typePediatrics Physician
28Total paid$9.93M
24GClaims180,114
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Washington
Rank by total paid#4 of 110
Median peer was paid$57K
This provider vs. median175×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JENSEN, SARAH controls 20+ related entities in our dataset. Read more
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 | 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 | |
| 2024incomplete | 25,192 | $1.34M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 30% | 36,077 | 15,531 | $2.93M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 22% | 40,731 | 37,149 | $2.17M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 17% | 37,177 | 14,847 | $1.65M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.1% | 13,688 | 13,084 | $702K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.2% | 13,381 | 5,957 | $612K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 5.6% | 8,297 | 7,797 | $552K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 2,042 | 1,694 | $127K |
| 99223 | Prolong inpt eval add15 m | 1.2% | 1,445 | 1,420 | $119K |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.2% | 2,246 | 1,810 | $116K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 1.1% | 111 | 109 | $105K |
| 99460 | <1% | 1,147 | 1,117 | $95K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 899 | 888 | $93K |
58 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,252 | $66K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 758 | $64K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 470 | $43K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 866 | $42K |
| 92609 | <1% | 623 | $37K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,236 | $36K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 546 | $32K |
| 0002A | <1% | 810 | $32K | |
| 99205 | Prolong outpt/office vis | <1% | 289 | $29K |
| 0001A | <1% | 609 | $24K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 412 | $24K |
| 76813 | <1% | 309 | $22K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 329 | $21K |
| 92526 | <1% | 395 | $20K | |
| 76801 | <1% | 270 | $20K | |
| 99462 | <1% | 556 | $19K | |
| 90686 | <1% | 1,616 | $19K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 166 | $16K |
| 99241 | <1% | 465 | $13K | |
| 92523 | <1% | 76 | $9K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,162 | $9K |
| 64615 | <1% | 125 | $8K | |
| 99220 | <1% | 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% | 1,846 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 44 | $4K |
| 96160 | <1% | 1,946 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 394 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 37 | $3K |
| 99443 | <1% | 93 | $3K | |
| 80061 | Lipid panel | <1% | 269 | $3K |
| 99242 | <1% | 59 | $3K | |
| 97803 | <1% | 39 | $2K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 26 | $2K |
| 96158 | <1% | 113 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 13 | $2K |
| 81003 | <1% | 730 | $1K | |
| 99383 | <1% | 12 | $1K | |
| 93000 | <1% | 128 | $972.01 | |
| 97802 | <1% | 12 | $907.47 | |
| 99442 | <1% | 30 | $818.22 | |
| 99441 | <1% | 43 | $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) | <1% | 16 | $561.51 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $525.52 |
| 96127 | <1% | 103 | $470.60 | |
| 0012A | <1% | 13 | $450.40 | |
| 96159 | <1% | 57 | $359.41 | |
| 90674 | <1% | 12 | $236.28 | |
| 73630 | <1% | 17 | $234.00 | |
| 90670 | <1% | 15 | $159.30 | |
| 90698 | <1% | 14 | $148.68 | |
| 90680 | <1% | 13 | $138.06 | |
| 90744 | <1% | 13 | $138.06 | |
| 90734 | <1% | 12 | $117.67 | |
| 51798 | <1% | 25 | $92.22 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | $82.44 |
| 91300 | 0% | 1,234 | $0.00 | |
| 91307 | 0% | 20 | $0.00 | |
| 91301 | 0% | 16 | $0.00 |
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 officialJENSEN, SARAH (VP FINANCE)
Parent organizationLEGACY SALMON CREEK HOSPITAL
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.