Clinic
Outside in
Outside in was paid $3.52M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoOUTSIDE IN
PORTLAND, OR 97205
PORTLAND, OR 97205
33aNPI1568401347assigned 06/06/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.52M
24GClaims66,430
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Oregon
Rank by total paid#14 of 90
Median peer was paid$254K
This provider vs. median14×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 12,047 | $528K | |
| 2019 | 10,496 | $463K | |
| 2020 | 7,660 | $328K | |
| 2021 | 5,746 | $285K | |
| 2022 | 7,623 | $471K | |
| 2023 | 10,473 | $686K | |
| 2024incomplete | 12,385 | $754K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 17,067 | 14,900 | $1.21M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 29% | 10,890 | 9,617 | $1.01M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 8.7% | 2,069 | 800 | $305K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.6% | 2,514 | 1,647 | $163K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.5% | 1,244 | 1,092 | $157K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.9% | 444 | 400 | $68K |
| H0038 | Self-help/peer services, per 15 minutes | 1.9% | 1,000 | 446 | $66K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.7% | 621 | 404 | $61K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 3,455 | 3,205 | $59K |
| 91320 | 1.3% | 641 | 591 | $46K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 753 | 579 | $45K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.2% | 331 | 304 | $42K |
48 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.0% | 299 | $37K |
| 99402 | <1% | 663 | $35K | |
| 98940 | <1% | 1,772 | $28K | |
| 90480 | <1% | 655 | $20K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,358 | $19K |
| 99401 | <1% | 387 | $17K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 601 | $17K |
| 90674 | <1% | 666 | $13K | |
| 96160 | <1% | 4,447 | $9K | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 73 | $8K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 381 | $8K |
| 0012A | <1% | 94 | $5K | |
| 0124A | <1% | 152 | $5K | |
| 90756 | <1% | 358 | $5K | |
| 90661 | <1% | 239 | $5K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 60 | $4K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 1,009 | $4K |
| 96150 | <1% | 263 | $4K | |
| 0031A | <1% | 69 | $3K | |
| 90746 | <1% | 51 | $3K | |
| 98943 | <1% | 169 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 32 | $3K |
| 99442 | <1% | 46 | $3K | |
| 90715 | <1% | 72 | $3K | |
| 0011A | <1% | 42 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 154 | $2K |
| 80305 | <1% | 258 | $2K | |
| 99385 | <1% | 24 | $2K | |
| 96151 | <1% | 160 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 34 | $2K |
| 90636 | <1% | 13 | $1K | |
| 99384 | <1% | 15 | $1K | |
| 97124 | <1% | 521 | $1K | |
| T1016 | Case management, each 15 minutes | <1% | 37 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 30 | $979.05 |
| 99408 | <1% | 27 | $855.00 | |
| 0004A | <1% | 15 | $600.00 | |
| 81002 | <1% | 195 | $425.60 | |
| 94010 | <1% | 12 | $260.03 | |
| 80061 | Lipid panel | <1% | 17 | $121.81 |
| 97811 | <1% | 19 | $110.32 | |
| 97810 | <1% | 19 | $109.62 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 15 | $104.91 |
| G0467 | Community health center visit, returning patient | <1% | 24 | $99.48 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $98.70 |
| 81025 | <1% | 14 | $60.30 | |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | <1% | 5,810 | $58.75 |
| 82947 | <1% | 16 | $35.75 |
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 officialREPPETO, HEATHER (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Outside in | Portland, OR | $129K |
| Outside in | Portland, OR | $128K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.