Medicaid Provider Spending

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

UNIVERSITY PROFESSIONAL SERVICES

NPI: 1568601607 · SPRINGFIELD, OR 97477 · General Practice Physician · NPI assigned 02/12/2009

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

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

$987K
Total Medicaid Paid
10,803
Total Claims
8,775
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSMITH, KELLY (VP/ENTERPRISE REVENUE CYCLE)
Parent OrganizationUNIVERSITY PROFESSIONAL SERVICES
NPI Enumeration Date02/12/2009

Related Entities

Other providers sharing the same authorized official: SMITH, KELLY

ProviderCityStateTotal Paid
UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR $55.69M
OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND OR $9.71M
UNIVERSITY PROFESSIONAL SERVICES BEAVERTON OR $8.13M
OREGON HEALTH & SCIENCE UNIVERSITY SCAPPOOSE OR $4.56M
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 3,129 $243K
2019 4,951 $475K
2020 570 $50K
2021 513 $55K
2022 689 $62K
2023 614 $70K
2024 337 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99205 Prolong outpt/office vis 1,288 1,099 $193K
92523 1,095 1,072 $167K
99215 Prolong outpt/office vis 1,352 1,296 $139K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,905 1,275 $101K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,419 699 $80K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 797 767 $59K
96137 170 162 $42K
97166 594 558 $36K
97530 Therapeutic activities, direct patient contact, each 15 minutes 402 268 $32K
96130 185 177 $29K
96131 137 131 $27K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 117 103 $13K
96136 184 176 $12K
90791 Psychiatric diagnostic evaluation 89 86 $9K
97165 145 135 $8K
97802 81 76 $8K
97760 136 96 $6K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 87 79 $4K
97168 72 66 $3K
99358 Prolong nursin fac eval 15m 41 39 $3K
97161 41 39 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 31 31 $2K
97162 37 36 $2K
96111 15 13 $1K
96127 223 154 $1K
96112 14 12 $1K
97164 24 24 $990.84
H0038 Self-help/peer services, per 15 minutes 18 13 $885.46
99354 12 12 $805.89
97803 18 13 $742.68
92587 44 40 $464.73
98967 16 14 $290.22
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) 14 14 $204.96