Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OR › LA GRANDE › GRANDE RONDE HOSPITAL, INC.

GRANDE RONDE HOSPITAL, INC.

NPI: 1467446195 · LA GRANDE, OR 97850 · Multi-Specialty Clinic/Center · NPI assigned 09/08/2005

$20.12M
Total Medicaid Paid
214,618
Total Claims
162,242
Beneficiaries
152
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDAVIS, JEREMY (PRESIDENT/CEO)
NPI Enumeration Date09/08/2005

Related Entities

Other providers sharing the same authorized official: DAVIS, JEREMY

ProviderCityStateTotal Paid
GRANDE RONDE HOSPITAL, INC. LA GRANDE OR $231K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,537 $2.60M
2019 26,308 $2.43M
2020 28,797 $2.33M
2021 35,630 $2.91M
2022 37,271 $3.23M
2023 33,779 $3.47M
2024 28,296 $3.15M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 24,353 16,808 $6.45M
99283 Emergency department visit for the evaluation and management, moderate severity 28,324 20,102 $5.35M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,226 4,473 $2.42M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18,692 11,581 $1.09M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,557 11,043 $861K
99282 Emergency department visit for the evaluation and management, low to moderate severity 9,257 7,120 $839K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,313 927 $403K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,135 2,727 $282K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,085 1,524 $224K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,158 1,586 $191K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,561 2,081 $180K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 849 535 $169K
99215 Prolong outpt/office vis 1,457 1,025 $124K
99205 Prolong outpt/office vis 932 679 $123K
96375 Therapeutic injection; each additional sequential IV push 1,480 1,271 $105K
80053 Comprehensive metabolic panel 20,681 17,499 $104K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 20,331 17,140 $79K
95886 381 245 $78K
71045 Radiologic examination, chest; single view 2,669 1,824 $78K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,443 2,061 $72K
J1885 Injection, ketorolac tromethamine, per 15 mg 4,100 3,523 $60K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,345 4,267 $53K
73630 1,646 947 $53K
20610 1,062 554 $51K
J7120 Ringers lactate infusion, up to 1000 cc 1,451 1,226 $44K
J7030 Infusion, normal saline solution , 1000 cc 1,463 1,183 $41K
01810 207 182 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 831 561 $29K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 402 359 $29K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,151 1,116 $26K
64721 26 13 $24K
96361 Intravenous infusion, hydration; each additional hour 587 486 $23K
71046 Radiologic examination, chest; 2 views 173 163 $22K
J2704 Injection, propofol, 10 mg 921 819 $22K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 221 199 $19K
87631 177 170 $17K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 306 285 $16K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 131 118 $14K
84443 Thyroid stimulating hormone (TSH) 1,703 1,537 $14K
J3010 Injection, fentanyl citrate, 0.1 mg 468 375 $13K
J0585 Injection, onabotulinumtoxina, 1 unit 33 24 $13K
81001 6,117 5,289 $11K
83605 2,051 1,692 $11K
95910 85 52 $10K
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) 712 678 $10K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 133 115 $10K
83036 Hemoglobin; glycosylated (A1C) 1,940 1,765 $9K
80061 Lipid panel 1,348 1,232 $8K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 606 419 $8K
88305 Level IV - Surgical pathology, gross and microscopic examination 237 156 $8K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 80 49 $8K
J0690 Injection, cefazolin sodium, 500 mg 249 221 $8K
J2405 Injection, ondansetron hydrochloride, per 1 mg 307 273 $7K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 813 666 $7K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 61 54 $6K
76857 115 55 $6K
84484 1,332 885 $6K
69210 182 101 $5K
0202U Oncology (prostate), multianalyte, gene expression profiling 13 12 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 175 151 $5K
86850 460 439 $5K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 29 12 $5K
99281 Emergency department visit for the evaluation and management, self-limited or minor 117 97 $5K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 23 13 $4K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 106 90 $4K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 48 13 $4K
95816 24 12 $4K
59025 Fetal non-stress test 54 13 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 144 134 $4K
95800 16 12 $4K
J1030 Injection, methylprednisolone acetate, 40 mg 286 245 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 34 25 $3K
31231 22 12 $3K
00170 Anesthesia for intraoral procedures, including biopsy 12 12 $3K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 19 15 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 163 153 $3K
92567 89 62 $3K
J2795 Injection, ropivacaine hydrochloride, 1 mg 96 41 $3K
J2250 Injection, midazolam hydrochloride, per 1 mg 101 94 $3K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 59 58 $3K
85027 670 619 $2K
95115 215 77 $2K
J7050 Infusion, normal saline solution, 250 cc 146 55 $2K
74177 Computed tomography, abdomen and pelvis; with contrast material 28 12 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 30 14 $2K
11102 12 12 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 80 79 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 80 79 $2K
00142 18 12 $2K
73564 77 40 $2K
95117 76 25 $2K
20553 226 130 $2K
83735 473 406 $2K
83690 376 332 $2K
81025 260 258 $1K
90853 Group psychotherapy (other than of a multiple-family group) 58 31 $1K
80306 144 133 $1K
87086 Culture, bacterial; quantitative colony count, urine 431 355 $1K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 12 12 $1K
73110 76 40 $1K
73130 68 40 $1K
C1780 Lens, intraocular (new technology) 18 12 $1K
92588 16 12 $1K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 34 30 $1K
87400 174 83 $1K
84145 137 114 $1K
87081 219 213 $1K
95885 23 12 $1K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 31 27 $938.59
11721 72 53 $931.18
99406 64 58 $925.65
73610 65 31 $880.92
86140 386 346 $826.17
81002 457 418 $814.11
92504 20 14 $700.78
87634 13 12 $683.84
80048 Basic metabolic panel (calcium, ionized) 162 152 $662.63
73030 30 15 $634.29
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 64 64 $628.29
86803 59 51 $449.55
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 12 12 $434.64
87806 12 12 $407.50
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 26 26 $387.78
93244 14 13 $366.45
85652 314 287 $365.11
86780 38 38 $342.11
20552 100 71 $327.13
85610 159 137 $282.09
86900 137 135 $278.52
86901 137 135 $274.34
85730 75 71 $263.67
93227 13 12 $258.10
87340 37 37 $256.99
93296 12 12 $233.74
86762 25 25 $231.61
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13 12 $228.06
82728 27 26 $209.88
85379 20 17 $201.64
83880 17 12 $191.67
J1010 Injection, methylprednisolone acetate, 1 mg 14 13 $177.63
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $157.68
81003 123 120 $149.99
82607 24 21 $147.84
83550 30 28 $141.63
J0171 Injection, adrenalin, epinephrine, 0.1 mg 18 12 $130.30
85018 65 65 $102.92
83540 30 28 $99.66
84439 12 12 $75.72
82570 15 13 $25.41
82043 12 12 $24.30
99024 700 549 $0.00
A9270 Non-covered item or service 28 13 $0.00