Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OR › Eugene › NPI 1447207287
Behavioral

Peacehealth Medical Group

Peacehealth Medical Group was paid $45.46M by Medicaid between Jan 2018 and Dec 2024, across 211 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.

33Billing provider infoPEACEHEALTH MEDICAL GROUP
EUGENE, OR 97401
33aNPI1447207287assigned 05/27/2006
33bProvider typeClinical Social Worker
28Total paid$45.46M
24GClaims933,553
24DCodes billed211
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Social Worker providers in Oregon

Rank by total paid#1 of 198
Median peer was paid$64K
This provider vs. median713×

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

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
2018160,607$7.50M
2019165,169$7.81M
2020125,201$6.04M
2021127,885$6.03M
2022128,633$6.28M
2023112,080$5.84M
2024incomplete113,978$5.96M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 30% 221,670 189,711 $13.57M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 166,273 149,350 $8.22M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5.2% 34,203 31,343 $2.36M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 3.4% 15,423 8,210 $1.56M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.4% 20,602 18,583 $1.54M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.4% 33,685 9,301 $1.53M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 3.4% 22,084 12,408 $1.52M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.0% 15,924 15,658 $1.38M
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 2.4% 12,348 10,226 $1.09M
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 2.1% 10,044 9,034 $969K
90792 Psychiatric diagnostic evaluation with medical services 1.8% 6,258 5,484 $817K
H2014 Skills training and development, per 15 minutes 1.6% 13,105 6,629 $735K
199 more codes
90686 1.2% 28,648 $547K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.2% 6,299 $539K
99215 Doctor's office visit, returning patient (complex) <1% 6,089 $422K
99223 Prolong inpt eval add15 m <1% 4,320 $417K
99232 Hospital visit by a doctor, follow-up day <1% 13,441 $397K
T1016 Case management, each 15 minutes <1% 5,461 $378K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 674 $377K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 6,285 $348K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 26,322 $347K
90832 Psychotherapy session, about 30 minutes <1% 4,798 $321K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 2,227 $304K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 2,375 $256K
99239 Hospital discharge day management, more than 30 minutes <1% 4,382 $229K
90670 <1% 10,260 $226K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 1,313 $205K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 1,610 $189K
92551 <1% 18,423 $173K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 1,573 $164K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 3,800 $162K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 24,126 $158K
90847 Family psychotherapy with the patient present, 50 minutes <1% 1,489 $158K
95886 <1% 1,800 $149K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 3,133 $142K
H0038 Self-help/peer services, per 15 minutes <1% 2,448 $137K
H2032 Activity therapy, per 15 minutes <1% 3,290 $135K
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) <1% 13,920 $135K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 3,616 $122K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,263 $116K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,861 $115K
99460 <1% 1,743 $106K
90680 <1% 4,934 $103K
99205 Prolong outpt/office vis <1% 940 $103K
92557 <1% 4,938 $102K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,304 $100K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 8,111 $99K
90723 <1% 4,702 $99K
90647 <1% 4,448 $93K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 2,395 $91K
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 2,318 $90K
99238 Hospital discharge day management, 30 minutes or less <1% 1,896 $87K
V5011 Fitting/orientation/checking of hearing aid <1% 1,351 $79K
93320 <1% 2,254 $72K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 648 $67K
92567 <1% 7,112 $67K
92015 Determination of refractive state <1% 4,782 $65K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter <1% 621 $54K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,696 $49K
11102 <1% 1,030 $48K
90633 <1% 2,320 $47K
99177 <1% 17,993 $47K
99222 Initial hospital care, per day, moderate complexity <1% 701 $46K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 197 $46K
92060 <1% 955 $45K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 151 $44K
93000 <1% 3,393 $43K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 686 $41K
90697 <1% 1,793 $38K
95806 <1% 890 $36K
90677 <1% 1,665 $35K
93325 <1% 2,346 $34K
64615 <1% 431 $33K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,136 $30K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 5,012 $30K
90656 <1% 1,527 $29K
97802 <1% 306 $27K
93793 <1% 8,650 $27K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 1,138 $21K
17110 <1% 366 $19K
95800 <1% 299 $18K
69210 <1% 1,265 $18K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 817 $18K
97803 <1% 275 $18K
99173 <1% 7,147 $17K
11100 <1% 394 $17K
95913 <1% 98 $16K
V5261 Hearing aid, digital, binaural, bte <1% 13 $15K
92588 <1% 669 $15K
99349 <1% 552 $14K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring <1% 56 $13K
72110 <1% 559 $13K
92340 Fitting of spectacles, except for aphakia; monofocal <1% 405 $13K
71046 Radiologic examination, chest; 2 views <1% 1,000 $12K
91321 <1% 222 $11K
85610 <1% 8,849 $10K
95251 <1% 465 $9K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 1,113 $9K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 70 $9K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 773 $9K
V2020 Frames, purchases <1% 424 $8K
31231 <1% 55 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 553 $7K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 413 $7K
31575 <1% 103 $7K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 419 $7K
97535 Self-care/home management training, each 15 minutes <1% 326 $7K
99152 <1% 248 $7K
90651 <1% 295 $7K
83036 Hemoglobin; glycosylated (A1C) <1% 1,337 $7K
90785 <1% 529 $7K
90672 <1% 346 $7K
81025 <1% 1,021 $6K
96910 <1% 198 $6K
17000 <1% 278 $6K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 208 $5K
81003 <1% 3,116 $5K
99356 <1% 203 $5K
80305 <1% 1,061 $5K
99462 <1% 203 $5K
95910 <1% 41 $5K
90715 <1% 190 $4K
85018 <1% 2,004 $4K
90716 <1% 136 $4K
11104 <1% 41 $4K
0072A <1% 97 $4K
V5264 Ear mold/insert, not disposable, any type <1% 107 $3K
97162 <1% 77 $3K
0124A <1% 128 $3K
72050 <1% 152 $3K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 302 $3K
93970 <1% 147 $3K
99336 <1% 184 $3K
D1206 Topical application of fluoride varnish <1% 234 $3K
93971 <1% 189 $3K
92591 <1% 48 $3K
99497 <1% 108 $3K
T1040 Medicaid certified community behavioral health clinic services, per diem <1% 41 $3K
90700 <1% 129 $3K
98968 <1% 75 $2K
90710 <1% 115 $2K
90707 <1% 106 $2K
72114 <1% 87 $2K
90685 <1% 100 $2K
90734 <1% 95 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 26 $2K
94375 <1% 142 $2K
V5160 Dispensing fee, binaural <1% 39 $2K
90846 Family psychotherapy without the patient present, 50 minutes <1% 19 $2K
99381 <1% 29 $2K
V5266 Battery for use in hearing device <1% 1,303 $2K
94729 <1% 143 $2K
97161 <1% 41 $2K
99221 <1% 41 $2K
90660 <1% 76 $1K
94726 <1% 119 $1K
0071A <1% 39 $1K
97130 <1% 28 $1K
H0031 Mental health assessment, by non-physician <1% 14 $1K
36415 Collection of venous blood by venipuncture <1% 651 $1K
90674 <1% 58 $1K
90696 <1% 54 $1K
97129 <1% 28 $942.96
92552 <1% 49 $926.00
94010 <1% 68 $910.60
90853 Group psychotherapy (other than of a multiple-family group) <1% 27 $907.12
0004A <1% 24 $896.00
92579 <1% 30 $865.98
92556 <1% 26 $750.09
92582 <1% 12 $656.69
90460 Immunization administration through 18 years of age via any route, first or only component <1% 67 $608.26
96158 <1% 19 $595.53
81002 <1% 223 $564.80
99306 Prolong nursin fac eval 15m <1% 20 $526.55
97804 <1% 21 $466.80
98929 <1% 12 $456.89
99406 <1% 41 $451.25
96160 <1% 147 $448.89
0054A <1% 12 $448.00
92595 <1% 30 $426.75
99442 <1% 65 $420.18
99417 Prolong home eval add 15m <1% 13 $381.82
90381 <1% 15 $308.28
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 21 $302.40
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 25 $297.99
93922 <1% 32 $274.76
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 185 $254.92
92555 <1% 13 $249.25
99153 Mod sedat endo service >5yrs <1% 42 $232.63
88720 <1% 64 $208.56
72120 <1% 12 $182.41
99443 <1% 49 $181.60
92565 <1% 15 $129.82
99308 Subsequent nursing facility care, per day, straightforward <1% 25 $116.92
99441 <1% 23 $116.13
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 112 $111.54
17003 <1% 18 $76.61
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 15 $67.41
V5275 Ear impression, each <1% 57 $45.50
82962 <1% 15 $29.10
V5014 Repair/modification of a hearing aid <1% 32 $19.20
G0008 Administration of influenza virus vaccine <1% 167 $9.90
Q0244 Injection, casirivimab and imdevimab, 1200 mg <1% 195 $0.01
3017F 0% 365 $0.00
G8982 Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 47 $0.00
Q0247 Injection, sotrovimab, 500 mg 0% 43 $0.00
G8981 Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals 0% 28 $0.00
92592 0% 19 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 33 $0.00
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 0% 59 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 17 $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 officialKETTLER, LORI (PROVIDER ENROLLMENT LEAD)