Clinic
ST. Charles Health System, INC.
ST. Charles Health System, INC. was paid $291K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoST. CHARLES HEALTH SYSTEM, INC.
PRINEVILLE, OR 97754
PRINEVILLE, OR 97754
33aNPI1407178528assigned 02/16/2010
33bProvider typeRural Health Clinic/Center
28Total paid$291K
24GClaims25,869
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Oregon
Rank by total paid#35 of 65
Median peer was paid$295K
This provider vs. median1.0×
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 | 3,496 | $36K | |
| 2019 | 508 | $12K | |
| 2020 | 1,151 | $12K | |
| 2021 | 4,682 | $52K | |
| 2022 | 4,189 | $56K | |
| 2023 | 4,427 | $39K | |
| 2024incomplete | 7,416 | $85K |
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 | 40% | 13,113 | 11,856 | $117K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 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) | 13% | 3,733 | 3,350 | $39K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.6% | 281 | 232 | $16K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.2% | 152 | 145 | $12K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.3% | 87 | 71 | $7K |
| 90686 | <1% | 111 | 110 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 55 | 55 | $834.58 |
| 0064A | <1% | 29 | 29 | $833.48 | |
| 90682 | <1% | 13 | 13 | $607.07 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 116 | 114 | $469.17 |
| 0012A | <1% | 12 | 12 | $413.00 |
8 more codes
| 96127 | <1% | 40 | $220.02 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 29 | $198.55 |
| 90656 | <1% | 15 | $173.70 | |
| 96160 | <1% | 42 | $109.23 | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 79 | $80.46 |
| 99442 | <1% | 27 | $79.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 21 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 14 | $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 officialSWAFFORD, MATTHEW (CFO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.