Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OR › EUGENE › PEACEHEALTH MEDICAL GROUP

PEACEHEALTH MEDICAL GROUP

NPI: 1447207287 · EUGENE, OR 97401 · Clinical Social Worker · NPI assigned 05/27/2006

$45.46M
Total Medicaid Paid
933,553
Total Claims
780,294
Beneficiaries
211
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKETTLER, LORI (PROVIDER ENROLLMENT LEAD)
NPI Enumeration Date05/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 160,607 $7.50M
2019 165,169 $7.81M
2020 125,201 $6.04M
2021 127,885 $6.03M
2022 128,633 $6.28M
2023 112,080 $5.84M
2024 113,978 $5.96M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 221,670 189,711 $13.57M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 166,273 149,350 $8.22M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 34,203 31,343 $2.36M
90837 Psychotherapy, 53 minutes with patient 15,423 8,210 $1.56M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 20,602 18,583 $1.54M
99233 Prolong inpt eval add15 m 33,685 9,301 $1.53M
90834 Psychotherapy, 45 minutes with patient 22,084 12,408 $1.52M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 15,924 15,658 $1.38M
90791 Psychiatric diagnostic evaluation 12,348 10,226 $1.09M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 10,044 9,034 $969K
90792 Psychiatric diagnostic evaluation with medical services 6,258 5,484 $817K
H2014 Skills training and development, per 15 minutes 13,105 6,629 $735K
90686 28,648 27,831 $547K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,299 6,194 $539K
99215 Prolong outpt/office vis 6,089 4,943 $422K
99223 Prolong inpt eval add15 m 4,320 3,364 $417K
99232 Subsequent hospital care, per day, moderate complexity 13,441 5,583 $397K
T1016 Case management, each 15 minutes 5,461 3,265 $378K
J0585 Injection, onabotulinumtoxina, 1 unit 674 424 $377K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 6,285 5,666 $348K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 26,322 22,481 $347K
90832 Psychotherapy, 30 minutes with patient 4,798 4,028 $321K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 2,227 2,021 $304K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,375 2,204 $256K
99239 Hospital discharge day management, more than 30 minutes 4,382 3,478 $229K
90670 10,260 10,018 $226K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,313 1,185 $205K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,610 1,539 $189K
92551 18,423 18,058 $173K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,573 1,544 $164K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 3,800 3,084 $162K
96110 Developmental screening, with scoring and documentation, per standardized instrument 24,126 23,757 $158K
90847 Family psychotherapy with the patient present, 50 minutes 1,489 1,044 $158K
95886 1,800 1,617 $149K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,133 2,826 $142K
H0038 Self-help/peer services, per 15 minutes 2,448 993 $137K
H2032 Activity therapy, per 15 minutes 3,290 1,571 $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) 13,920 13,068 $135K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,616 3,436 $122K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,263 1,231 $116K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,861 1,620 $115K
99460 1,743 1,461 $106K
90680 4,934 4,813 $103K
99205 Prolong outpt/office vis 940 836 $103K
92557 4,938 4,237 $102K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,304 831 $100K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,111 7,677 $99K
90723 4,702 4,553 $99K
90647 4,448 4,328 $93K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,395 1,425 $91K
H0004 Behavioral health counseling and therapy, per 15 minutes 2,318 1,404 $90K
99238 Hospital discharge day management, 30 minutes or less 1,896 1,591 $87K
V5011 Fitting/orientation/checking of hearing aid 1,351 906 $79K
93320 2,254 2,042 $72K
45380 Colonoscopy, flexible; with biopsy, single or multiple 648 588 $67K
92567 7,112 6,275 $67K
92015 Determination of refractive state 4,782 4,416 $65K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 621 563 $54K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,696 1,470 $49K
11102 1,030 863 $48K
90633 2,320 2,276 $47K
99177 17,993 17,672 $47K
99222 Initial hospital care, per day, moderate complexity 701 611 $46K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 197 146 $46K
92060 955 908 $45K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 151 126 $44K
93000 3,393 3,300 $43K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 686 639 $41K
90697 1,793 1,775 $38K
95806 890 865 $36K
90677 1,665 1,648 $35K
93325 2,346 2,129 $34K
64615 431 413 $33K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,136 2,006 $30K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,012 4,402 $30K
90656 1,527 1,517 $29K
97802 306 225 $27K
93793 8,650 4,983 $27K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,138 624 $21K
17110 366 315 $19K
95800 299 187 $18K
69210 1,265 963 $18K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 817 789 $18K
97803 275 258 $18K
99173 7,147 7,023 $17K
11100 394 322 $17K
95913 98 91 $16K
V5261 Hearing aid, digital, binaural, bte 13 12 $15K
92588 669 632 $15K
99349 552 376 $14K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 56 43 $13K
72110 559 540 $13K
92340 Fitting of spectacles, except for aphakia; monofocal 405 402 $13K
71046 Radiologic examination, chest; 2 views 1,000 924 $12K
91321 222 221 $11K
85610 8,849 5,737 $10K
95251 465 413 $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) 1,113 940 $9K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 70 65 $9K
99309 Subsequent nursing facility care, per day, low to moderate complexity 773 338 $9K
V2020 Frames, purchases 424 419 $8K
31231 55 52 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 553 485 $7K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 413 410 $7K
31575 103 97 $7K
V2784 Lens, polycarbonate or equal, any index, per lens 419 413 $7K
97535 Self-care/home management training, each 15 minutes 326 255 $7K
99152 248 247 $7K
90651 295 287 $7K
83036 Hemoglobin; glycosylated (A1C) 1,337 1,216 $7K
90785 529 485 $7K
90672 346 342 $7K
81025 1,021 933 $6K
96910 198 53 $6K
17000 278 236 $6K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 208 121 $5K
81003 3,116 2,869 $5K
99356 203 106 $5K
80305 1,061 874 $5K
99462 203 127 $5K
95910 41 37 $5K
90715 190 171 $4K
85018 2,004 1,944 $4K
90716 136 132 $4K
11104 41 40 $4K
0072A 97 96 $4K
V5264 Ear mold/insert, not disposable, any type 107 74 $3K
97162 77 72 $3K
0124A 128 111 $3K
72050 152 146 $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 302 256 $3K
93970 147 136 $3K
99336 184 96 $3K
D1206 Topical application of fluoride varnish 234 221 $3K
93971 189 173 $3K
92591 48 41 $3K
99497 108 64 $3K
T1040 Medicaid certified community behavioral health clinic services, per diem 41 27 $3K
90700 129 121 $3K
98968 75 44 $2K
90710 115 110 $2K
90707 106 104 $2K
72114 87 81 $2K
90685 100 97 $2K
90734 95 93 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters 26 25 $2K
94375 142 125 $2K
V5160 Dispensing fee, binaural 39 38 $2K
90846 Family psychotherapy without the patient present, 50 minutes 19 12 $2K
99381 29 19 $2K
V5266 Battery for use in hearing device 1,303 961 $2K
94729 143 124 $2K
97161 41 38 $2K
99221 41 37 $2K
90660 76 76 $1K
94726 119 102 $1K
0071A 39 39 $1K
97130 28 26 $1K
H0031 Mental health assessment, by non-physician 14 13 $1K
36415 Collection of venous blood by venipuncture 651 548 $1K
90674 58 55 $1K
90696 54 50 $1K
97129 28 26 $942.96
92552 49 40 $926.00
94010 68 66 $910.60
90853 Group psychotherapy (other than of a multiple-family group) 27 12 $907.12
0004A 24 24 $896.00
92579 30 28 $865.98
92556 26 25 $750.09
92582 12 12 $656.69
90460 Immunization administration through 18 years of age via any route, first or only component 67 65 $608.26
96158 19 16 $595.53
81002 223 210 $564.80
99306 Prolong nursin fac eval 15m 20 12 $526.55
97804 21 12 $466.80
98929 12 12 $456.89
99406 41 39 $451.25
96160 147 142 $448.89
0054A 12 12 $448.00
92595 30 27 $426.75
99442 65 32 $420.18
99417 Prolong home eval add 15m 13 13 $381.82
90381 15 15 $308.28
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 21 14 $302.40
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 25 24 $297.99
93922 32 30 $274.76
J1885 Injection, ketorolac tromethamine, per 15 mg 185 172 $254.92
92555 13 13 $249.25
99153 Mod sedat endo service >5yrs 42 42 $232.63
88720 64 51 $208.56
72120 12 12 $182.41
99443 49 27 $181.60
92565 15 12 $129.82
99308 Subsequent nursing facility care, per day, straightforward 25 13 $116.92
99441 23 14 $116.13
J1100 Injection, dexamethasone sodium phosphate, 1 mg 112 112 $111.54
17003 18 13 $76.61
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 15 14 $67.41
V5275 Ear impression, each 57 37 $45.50
82962 15 13 $29.10
V5014 Repair/modification of a hearing aid 32 26 $19.20
G0008 Administration of influenza virus vaccine 167 144 $9.90
Q0244 Injection, casirivimab and imdevimab, 1200 mg 195 144 $0.01
3017F 365 365 $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 47 43 $0.00
Q0247 Injection, sotrovimab, 500 mg 43 36 $0.00
G8981 Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals 28 27 $0.00
92592 19 17 $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 33 31 $0.00
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 59 44 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 17 17 $0.00