Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Connections First, LLC

Connections First, LLC was paid $2.45M by Medicaid between Jan 2018 and Jun 2024, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 99% of everything it billed.

33Billing provider infoCONNECTIONS FIRST, LLC
PORTLAND, OR 97210
33aNPI1528420692assigned 03/28/2016
28Total paid$2.45M
24GClaims16,863
24DCodes billed2
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Oregon

Rank by total paid#9 of 62
Median peer was paid$163K
This provider vs. median15×

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.

Single-Code Concentration99% of spending on code 90837 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
2018116$12K
2019990$141K
20203,249$456K
20215,545$791K
20225,034$725K
20231,609$272K
2024incomplete320$50K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 99% 16,702 7,867 $2.43M
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 161 158 $21K

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 officialRYAN, DAVID (PSYCHOTHERAPIST/COFOUNDER)
Same official

Other billing entities under RYAN, DAVID

Full network →
ProviderLocationPaid
The Exeter Cooperative School DistrictExeter, NH$894K
Exeter School DistrictExeter, NH$748K
David M Ryan, D.O.Kennewick, WA$133K
Hillside Family Practice PCEnterprise, AL$58K
Stratham School DistrictExeter, NH$17K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.