Clinic
Tuality Healthcare
Tuality Healthcare was paid $40K by Medicaid between Jan 2018 and Aug 2018, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoTUALITY HEALTHCARE
HILLSBORO, OR 97123
HILLSBORO, OR 97123
33aNPI1356372858assigned 07/05/2006
33bProvider typeHealth Service Clinic/Center
28Total paid$40K
24GClaims767
24DCodes billed3
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other Health Service Clinic/Center providers in Oregon
Rank by total paid#15 of 25
Median peer was paid$90K
This provider vs. median0.4×
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.
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 | 767 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 58% | 374 | 331 | $23K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 359 | 314 | $16K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.1% | 34 | 30 | $1K |
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 officialJAMES-NIELSEN, LORI (PRESIDENT & CEO)
| Provider | Location | Paid |
|---|---|---|
| Tuality Healthcare | Hillsboro, OR | $27.82M |
| Tuality Medical Group LLC | Hillsboro, OR | $11.52M |
| Tuality Healthcare | Hillsboro, OR | $105K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.