Rose City Medical LLC

Rose City Medical LLC was paid $2.02M by Medicaid between Jan 2018 and Jun 2020, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.

33Billing provider infoROSE CITY MEDICAL LLC
PORTLAND, OR 97220

33aNPI1417217894assigned 05/20/2012

33bProvider typeUrgent Care Clinic/Center

28Total paid$2.02M

24GClaims36,894

24DCodes billed46

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Urgent Care Clinic/Center providers in Oregon

Rank by total paid#5 of 20

Median peer was paid$636K

This provider vs. median3.2×

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	22,197	$1.06M
2019	11,249	$685K
2020	3,448	$281K

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%	12,772	10,964	$1.17M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	4,174	3,741	$259K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	8.7%	1,381	1,210	$177K
99401		3.9%	2,603	2,353	$79K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.3%	503	455	$46K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.8%	334	321	$36K
96152		1.7%	746	430	$35K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.5%	222	195	$30K
96158		1.3%	413	183	$27K
99402		1.0%	421	377	$21K
99406		1.0%	1,802	1,554	$20K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	180	166	$19K

34 more codes

96150		<1%	357	$18K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	639	$13K
96127		<1%	3,404	$13K
99385		<1%	101	$12K
90656		<1%	452	$8K
96159		<1%	212	$7K
36415	Collection of venous blood by venipuncture	<1%	3,214	$6K
96160		<1%	1,443	$4K
G0444	Annual depression screening, 5 to 15 minutes	<1%	282	$3K
99358	Prolong nursin fac eval 15m	<1%	34	$3K
99386		<1%	17	$2K
90837	Psychotherapy session, about an hour	<1%	16	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	12	$1K
92551		<1%	108	$1K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	47	$828.13
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	31	$818.91
80053	Comprehensive metabolic panel	<1%	99	$741.57
90686		<1%	32	$693.93
90756		<1%	31	$665.24
83036	Hemoglobin; glycosylated (A1C)	<1%	71	$534.13
99408		<1%	15	$531.90
81002		<1%	230	$479.89
88141		<1%	14	$446.32
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	75	$427.98
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	14	$401.28
84479		<1%	74	$394.39
99173		<1%	152	$349.45
92552		<1%	21	$308.10
69209		<1%	42	$307.49
90715		<1%	12	$282.60
86703		<1%	16	$177.60
83721		<1%	16	$146.56
81000		<1%	27	$73.06
81003		<1%	33	$47.22

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 officialSULLIVAN, MARIA (BUSINESS DIRECTOR)