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

Sapphire Blue Behavioral Health Solutions

Sapphire Blue Behavioral Health Solutions was paid $1.31M by Medicaid between Jun 2021 and Dec 2024, across 3 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 99% of everything it billed.

33Billing provider infoSAPPHIRE BLUE BEHAVIORAL HEALTH SOLUTIONS
LAKE OSWEGO, OR 97035
33aNPI1558839068assigned 11/02/2018
33bProvider typeMental Health Counselor
28Total paid$1.31M
24GClaims7,837
24DCodes billed3
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers

Next to other Mental Health Counselor providers in Oregon

Rank by total paid#28 of 444
Median peer was paid$74K
This provider vs. median18×

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 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
2021739$90K
20221,998$282K
20233,233$589K
2024incomplete1,867$349K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 99% 7,710 2,630 $1.29M
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 1.2% 114 100 $16K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 13 12 $2K

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 officialLA VERNE, A. (CEO)