Providence Health & Services - Oregon
Providence Health & Services - Oregon was paid $145K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 59% of everything it billed.
MEDFORD, OR 97504
Next to other Clinic/Center providers in Oregon
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 220 | $15K | |
| 2019 | 534 | $22K | |
| 2020 | 421 | $32K | |
| 2021 | 663 | $48K | |
| 2022 | 415 | $6K | |
| 2023 | 343 | $4K | |
| 2024incomplete | 747 | $18K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 59% | 826 | 339 | $85K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.1% | 151 | 142 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.9% | 277 | 255 | $11K |
| 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 | 6.3% | 258 | 246 | $9K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.7% | 144 | 71 | $8K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.1% | 59 | 58 | $6K |
| 94726 | 3.1% | 471 | 425 | $5K | |
| 94729 | 2.8% | 508 | 459 | $4K | |
| 94060 | 2.3% | 455 | 414 | $3K | |
| 95800 | <1% | 31 | 31 | $1K | |
| 95806 | <1% | 12 | 12 | $549.70 | |
| 3078F | 0% | 24 | 24 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.