Medicaid Provider Spending

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

ROSE CITY MEDICAL LLC

NPI: 1417217894 · PORTLAND, OR 97220 · Urgent Care Clinic/Center · NPI assigned 05/20/2012

$2.02M
Total Medicaid Paid
36,894
Total Claims
32,061
Beneficiaries
46
Codes Billed
2018-01
First Month
2020-06
Last Month

Provider Details

Authorized OfficialSULLIVAN, MARIA (BUSINESS DIRECTOR)
NPI Enumeration Date05/20/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,197 $1.06M
2019 11,249 $685K
2020 3,448 $281K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,772 10,964 $1.17M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,174 3,741 $259K
99215 Prolong outpt/office vis 1,381 1,210 $177K
99401 2,603 2,353 $79K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 503 455 $46K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 334 321 $36K
96152 746 430 $35K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 222 195 $30K
96158 413 183 $27K
99402 421 377 $21K
99406 1,802 1,554 $20K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 180 166 $19K
96150 357 347 $18K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 639 595 $13K
96127 3,404 2,929 $13K
99385 101 96 $12K
90656 452 426 $8K
96159 212 90 $7K
36415 Collection of venous blood by venipuncture 3,214 2,882 $6K
96160 1,443 1,347 $4K
G0444 Annual depression screening, 5 to 15 minutes 282 262 $3K
99358 Prolong nursin fac eval 15m 34 29 $3K
99386 17 14 $2K
90837 Psychotherapy, 53 minutes with patient 16 13 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $1K
92551 108 106 $1K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 47 47 $828.13
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 31 29 $818.91
80053 Comprehensive metabolic panel 99 98 $741.57
90686 32 30 $693.93
90756 31 24 $665.24
83036 Hemoglobin; glycosylated (A1C) 71 68 $534.13
99408 15 15 $531.90
81002 230 207 $479.89
88141 14 12 $446.32
85025 Blood count; complete (CBC), automated, and automated differential WBC count 75 75 $427.98
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 14 $401.28
84479 74 73 $394.39
99173 152 132 $349.45
92552 21 12 $308.10
69209 42 32 $307.49
90715 12 12 $282.60
86703 16 15 $177.60
83721 16 16 $146.56
81000 27 26 $73.06
81003 33 27 $47.22