Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OR › GRANTS PASS › SISKIYOU COMMUNITY HEALTH CENTER, INC

SISKIYOU COMMUNITY HEALTH CENTER, INC

NPI: 1427046903 · GRANTS PASS, OR 97526 · Federally Qualified Health Center (FQHC) · NPI assigned 10/10/2005

$5.36M
Total Medicaid Paid
357,441
Total Claims
323,949
Beneficiaries
96
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialVAN HOUTEN, ERIC (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date10/10/2005

Related Entities

Other providers sharing the same authorized official: VAN HOUTEN, ERIC

ProviderCityStateTotal Paid
WILLAMETTE COMMUNITY HEALTH SOLUTIONS EUGENE OR $622K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 45,505 $591K
2019 45,533 $600K
2020 44,074 $627K
2021 54,570 $980K
2022 49,439 $863K
2023 59,017 $879K
2024 59,303 $825K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 75,422 68,757 $1.25M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 53,516 48,621 $472K
D0140 Limited oral evaluation - problem focused 10,334 9,854 $410K
D1110 Prophylaxis - adult 8,089 7,771 $327K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 5,652 4,192 $309K
D7140 Extraction, erupted tooth or exposed root 3,407 1,744 $266K
D0120 Periodic oral evaluation - established patient 7,630 7,379 $196K
D0150 Comprehensive oral evaluation - new or established patient 4,877 4,685 $192K
D1206 Topical application of fluoride varnish 14,436 13,860 $188K
D0220 Intraoral - periapical first radiographic image 17,123 16,406 $155K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,688 2,498 $153K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3,184 2,295 $138K
D0274 Bitewings - four radiographic images 7,208 7,003 $138K
D0210 Intraoral - complete series of radiographic images 2,644 2,559 $100K
D4910 1,732 1,646 $99K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,581 4,835 $90K
36415 Collection of venous blood by venipuncture 28,355 26,971 $68K
D0230 Intraoral - periapical each additional radiographic image 12,961 9,740 $67K
D1120 Prophylaxis - child 1,892 1,817 $60K
80053 Comprehensive metabolic panel 12,366 11,670 $60K
80061 Lipid panel 8,381 7,963 $50K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 735 688 $41K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,631 2,569 $36K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 538 458 $36K
83036 Hemoglobin; glycosylated (A1C) 7,957 7,573 $35K
D0270 4,412 4,242 $35K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,168 8,690 $33K
90686 2,206 2,174 $30K
80306 2,178 1,380 $29K
0012A 708 701 $24K
0011A 660 647 $24K
91322 257 254 $22K
0001A 463 457 $17K
0064A 565 562 $17K
0002A 420 417 $17K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 4,863 3,966 $15K
90834 Psychotherapy, 45 minutes with patient 800 366 $15K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 317 302 $13K
D0191 2,031 1,967 $12K
90837 Psychotherapy, 53 minutes with patient 1,326 674 $10K
D1351 Sealant - per tooth 2,809 835 $10K
0004A 287 271 $9K
0031A 237 234 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 653 576 $8K
0124A 226 225 $6K
90480 250 250 $6K
0134A 229 229 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 631 312 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 609 583 $5K
90688 474 472 $5K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 124 121 $4K
81003 3,486 3,309 $4K
0071A 93 93 $4K
0054A 115 114 $4K
D4342 58 42 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 210 208 $3K
90656 156 156 $3K
99215 Prolong outpt/office vis 285 264 $2K
0072A 86 86 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 56 51 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 16 16 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 96 96 $2K
90715 67 67 $1K
D4341 20 12 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 140 107 $1K
82044 446 428 $1K
D2331 15 12 $940.62
82570 421 404 $926.49
Q3014 Telehealth originating site facility fee 78 71 $652.68
D4355 12 12 $582.15
80048 Basic metabolic panel (calcium, ionized) 149 141 $569.62
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 82 80 $541.50
90836 484 437 $499.19
D1354 109 32 $493.00
D0330 Panoramic radiographic image 13 13 $452.20
0003A 16 16 $432.00
99201 13 13 $377.02
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 72 68 $359.21
D2940 16 12 $297.00
99384 12 12 $270.75
90662 44 43 $267.12
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,649 1,431 $112.90
81001 66 66 $78.19
D0603 9,314 8,448 $30.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 13 12 $19.88
99442 28 25 $12.24
99000 701 678 $9.05
D1330 2,012 1,890 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 243 221 $0.00
92551 177 175 $0.00
D9995 12 12 $0.00
D0602 17 17 $0.00
G0008 Administration of influenza virus vaccine 43 43 $0.00
D1310 16 13 $0.00
99473 16 16 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 26 $0.00