Clinic
Legacy Mount Hood Medical Center
Legacy Mount Hood Medical Center was paid $1.09M by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 82% of everything it billed.
33Billing provider infoLEGACY MOUNT HOOD MEDICAL CENTER
GRESHAM, OR 97030
GRESHAM, OR 97030
33aNPI1386919132assigned 03/13/2012
33bProvider typeClinic/Center
28Total paid$1.09M
24GClaims17,502
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Oregon
Rank by total paid#29 of 167
Median peer was paid$141K
This provider vs. median7.8×
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 | 3,177 | $184K | |
| 2019 | 3,710 | $214K | |
| 2020 | 1,021 | $54K | |
| 2021 | 2,117 | $131K | |
| 2022 | 2,216 | $176K | |
| 2023 | 2,294 | $186K | |
| 2024incomplete | 2,967 | $146K |
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 | 82% | 12,683 | 11,261 | $895K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.3% | 1,178 | 1,065 | $90K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.3% | 1,102 | 1,003 | $58K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.5% | 275 | 193 | $16K |
| 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) | 1.2% | 1,484 | 1,363 | $13K |
| 99205 | Prolong outpt/office vis | <1% | 55 | 51 | $8K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 37 | 28 | $3K |
| 99442 | <1% | 173 | 147 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 128 | 127 | $3K |
| 90686 | <1% | 114 | 114 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 189 | 183 | $502.20 |
| 99441 | <1% | 42 | 36 | $363.34 |
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 officialHOFF, LINDA (SENIOR VP AND CFO)
Parent organizationLEGACY MOUNT HOOD MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| Silverton Health | Woodburn, OR | $2.76M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.