ST. CHARLES HEALTH SYSTEM, INC.
NPI: 1407178528
· PRINEVILLE, OR 97754
· 261QR1300X
$291K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
13,113 |
11,856 |
$117K |
| 99213 |
|
7,900 |
7,163 |
$94K |
| G2211 |
Complex e/m visit add on |
3,733 |
3,350 |
$39K |
| 90832 |
|
281 |
232 |
$16K |
| 90791 |
|
152 |
145 |
$12K |
| 90834 |
|
87 |
71 |
$7K |
| 90686 |
|
111 |
110 |
$2K |
| 90471 |
|
55 |
55 |
$834.58 |
| 0064A |
|
29 |
29 |
$833.48 |
| 90682 |
|
13 |
13 |
$607.07 |
| 99212 |
|
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 outpt clinic visit |
79 |
68 |
$80.46 |
| 99442 |
|
27 |
26 |
$79.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
21 |
17 |
$0.00 |
| 99204 |
|
14 |
13 |
$0.00 |