Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OREGON HEALTH & SCIENCE UNIVERSITY

NPI: 1477675148 · PORTLAND, OR 97202 · Federally Qualified Health Center (FQHC) · NPI assigned 04/04/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SMITH, KELLY controls 20+ related entities in our dataset. Read more

$9.71M
Total Medicaid Paid
211,621
Total Claims
180,214
Beneficiaries
71
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, KELLY (VP ENTERPRISE REVENUE CYCLE)
NPI Enumeration Date04/04/2007

Related Entities

Other providers sharing the same authorized official: SMITH, KELLY

ProviderCityStateTotal Paid
UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR $55.69M
UNIVERSITY PROFESSIONAL SERVICES BEAVERTON OR $8.13M
OREGON HEALTH & SCIENCE UNIVERSITY SCAPPOOSE OR $4.56M
UNIVERSITY PROFESSIONAL SERVICES SPRINGFIELD OR $987K
INDEPENDENT SCHOOL DISTRICT NO 716 BELLE PLAINE MN $819K
PEDRAM RASHTI, MD, INC SANTA BARBARA CA $779K
A PLACE 4 ME, LLC CHARLOTTE NC $759K
UNIVERSITY ANESTHESIOLOGY ASSOCIATES, LLC PORTLAND OR $651K
UNIVERSITY PROFESSIONAL SERVICES VANCOUVER WA $480K
OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND OR $404K
UNIVERSITY PROFESSIONAL SERVICES LONGVIEW WA $310K
OREGON HEALTH SCIENCES UNIVERSITY DEPARTMENT OF OPHTHALMOLOGY PORTLAND OR $271K
UNIVERSITY PROFESSIONAL SERVICES BEND OR $95K
UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR $64K
UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR $62K
OHSU OUTPATIENT CLINICAL SERVICES LLC BEAVERTON OR $61K
UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR $56K
OREGON HEALTH & SCIENCE UNIVERSITY BEAVERTON OR $46K
OREGON HEALTH SCIENCES UNIVERSITY DEPARTMENT OF OPHTHALMOLOGY PORTLAND OR $40K
UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR $22K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 42,342 $1.62M
2019 42,105 $1.52M
2020 27,931 $1.35M
2021 29,920 $1.56M
2022 25,269 $1.36M
2023 22,725 $1.29M
2024 21,329 $1.01M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 77,639 62,856 $5.65M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 54,885 47,485 $3.16M
99215 Prolong outpt/office vis 3,360 2,611 $296K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,482 6,241 $107K
90686 4,937 4,705 $78K
36415 Collection of venous blood by venipuncture 24,416 22,612 $52K
80305 5,611 4,815 $49K
91322 381 342 $41K
90674 1,434 1,390 $34K
0011A 612 592 $24K
90792 Psychiatric diagnostic evaluation with medical services 247 205 $22K
0012A 448 436 $18K
91320 184 182 $16K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 384 375 $16K
0124A 394 385 $14K
99406 813 696 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 321 283 $11K
90480 423 401 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 69 65 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 105 91 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 440 332 $8K
97810 900 421 $8K
0031A 188 186 $7K
97811 829 394 $5K
90677 30 29 $5K
90656 193 191 $5K
99402 69 60 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 107 94 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 39 28 $3K
0001A 72 68 $3K
0064A 83 82 $3K
96127 911 830 $3K
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) 160 153 $2K
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 14,650 11,588 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14 14 $2K
83036 Hemoglobin; glycosylated (A1C) 321 304 $2K
0054A 44 44 $2K
99442 52 52 $1K
90832 Psychotherapy, 30 minutes with patient 357 259 $1K
0004A 33 28 $1K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 311 182 $975.68
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 57 55 $942.21
0002A 18 17 $851.01
99309 Subsequent nursing facility care, per day, low to moderate complexity 34 25 $834.47
90746 16 14 $781.44
90472 Immunization administration, each additional vaccine (list separately) 71 67 $760.63
11721 27 27 $663.10
90632 13 13 $571.25
81003 261 253 $530.37
90715 14 14 $331.56
99401 14 12 $328.86
99334 25 14 $256.87
99347 21 16 $248.29
96110 Developmental screening, with scoring and documentation, per standardized instrument 16 16 $173.92
90662 59 51 $122.69
G0008 Administration of influenza virus vaccine 196 162 $115.56
85610 40 27 $105.94
96160 84 81 $3.23
91300 335 302 $0.04
3078F 2,808 2,677 $0.00
3077F 13 12 $0.00
91312 380 371 $0.00
90611 14 14 $0.00
3074F 2,595 2,467 $0.00
3079F 154 144 $0.00
91305 91 89 $0.00
91306 83 83 $0.00
91301 997 849 $0.00
3075F 41 39 $0.00
91303 184 184 $0.00
3080F 12 12 $0.00