Medicaid Provider Spending

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

ST. CHARLES HEALTH SYSTEM, INC.

NPI: 1407178528 · PRINEVILLE, OR 97754 · Rural Health Clinic/Center · NPI assigned 02/16/2010

$291K
Total Medicaid Paid
25,869
Total Claims
23,394
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSWAFFORD, MATTHEW (CFO)
NPI Enumeration Date02/16/2010

Related Entities

Other providers sharing the same authorized official: SWAFFORD, MATTHEW

ProviderCityStateTotal Paid
ST. CHARLES HEALTH SYSTEM, INC. BEND OR $8.55M
ST. CHARLES HEALTH SYSTEM, INC. MADRAS OR $4.96M
ST. CHARLES HEALTH SYSTEM, INC. BEND OR $1.38M
ST. CHARLES HEALTH SYSTEM, INC. PRINEVILLE OR $1.37M
ST. CHARLES HEALTH SYSTEM, INC. BEND OR $539K
ST. CHARLES HEALTH SYSTEM, INC. BEND OR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,496 $36K
2019 508 $12K
2020 1,151 $12K
2021 4,682 $52K
2022 4,189 $56K
2023 4,427 $39K
2024 7,416 $85K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,113 11,856 $117K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,900 7,163 $94K
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) 3,733 3,350 $39K
90832 Psychotherapy, 30 minutes with patient 281 232 $16K
90791 Psychiatric diagnostic evaluation 152 145 $12K
90834 Psychotherapy, 45 minutes with patient 87 71 $7K
90686 111 110 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 55 55 $834.58
0064A 29 29 $833.48
90682 13 13 $607.07
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 116 114 $469.17
0012A 12 12 $413.00
96127 40 40 $220.02
99215 Prolong outpt/office vis 29 27 $198.55
90656 15 14 $173.70
96160 42 39 $109.23
G0463 Hospital outpatient clinic visit for assessment and management of a patient 79 68 $80.46
99442 27 26 $79.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 21 17 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 13 $0.00