Medicaid Provider Spending

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

CASCADIA HEALTH

NPI: 1568531952 · PORTLAND, OR 97236 · Multi-Specialty Clinic/Center · NPI assigned 11/07/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T1020 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official MCALPINE, HEATHER controls 13+ related entities in our dataset. Read more

$12.15M
Total Medicaid Paid
20,246
Total Claims
903
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMCALPINE, HEATHER (CREDENTIALING SPECIALIST)
Parent OrganizationCASCADIA HEALTH
NPI Enumeration Date11/07/2006

Related Entities

Other providers sharing the same authorized official: MCALPINE, HEATHER

ProviderCityStateTotal Paid
CASCADIA HEALTH PORTLAND OR $76.79M
CASCADIA HEALTH PORTLAND OR $14.24M
CASCADIA HEALTH PORTLAND OR $8.15M
CASCADIA HEALTH PORTLAND OR $7.84M
CASCADIA HEALTH OREGON CITY OR $2.31M
CASCADIA HEALTH PORTLAND OR $1.55M
CASCADIA HEALTH PORTLAND OR $1.15M
CASCADIA HEALTH MILWAUKIE OR $184K
CASCADIA HEALTH PORTLAND OR $176K
CASCADIA HEALTH OREGON CITY OR $40K
CASCADIA HEALTH GLADSTONE OR $25K
CASCADIA HEALTH PORTLAND OR $18K
CASCADIA HEALTH PORTLAND OR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,902 $1.50M
2019 3,812 $1.80M
2020 3,602 $2.12M
2021 4,759 $2.84M
2022 2,545 $1.61M
2023 777 $706K
2024 1,849 $1.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1020 Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 20,163 865 $12.15M
H2013 Psychiatric health facility service, per diem 83 38 $5K