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

University Professional Services

University Professional Services was paid $987K by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is 99205, Prolong outpt/office vis — 20% of everything it billed.

33Billing provider infoUNIVERSITY PROFESSIONAL SERVICES
SPRINGFIELD, OR 97477
33aNPI1568601607assigned 02/12/2009
28Total paid$987K
24GClaims10,803
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other General Practice Physician providers in Oregon

Rank by total paid#7 of 23
Median peer was paid$112K
This provider vs. median8.8×

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.

Entity ProliferationAuthorized official SMITH, KELLY controls 20+ related entities in our dataset. Read more
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
20183,129$243K
20194,951$475K
2020570$50K
2021513$55K
2022689$62K
2023614$70K
2024incomplete337$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99205 Prolong outpt/office vis 20% 1,288 1,099 $193K
92523 17% 1,095 1,072 $167K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 14% 1,352 1,296 $139K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 10% 1,905 1,275 $101K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 8.1% 1,419 699 $80K
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 6.0% 797 767 $59K
96137 4.2% 170 162 $42K
97166 3.6% 594 558 $36K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3.2% 402 268 $32K
96130 3.0% 185 177 $29K
96131 2.7% 137 131 $27K
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 1.3% 117 103 $13K
21 more codes
96136 1.2% 184 $12K
90791 Psychiatric diagnostic evaluation <1% 89 $9K
97165 <1% 145 $8K
97802 <1% 81 $8K
97760 <1% 136 $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) <1% 87 $4K
97168 <1% 72 $3K
99358 Prolong nursin fac eval 15m <1% 41 $3K
97161 <1% 41 $2K
99203 Doctor's office visit, new patient (routine) <1% 31 $2K
97162 <1% 37 $2K
96111 <1% 15 $1K
96127 <1% 223 $1K
96112 <1% 14 $1K
97164 <1% 24 $990.84
H0038 Self-help/peer services, per 15 minutes <1% 18 $885.46
99354 <1% 12 $805.89
97803 <1% 18 $742.68
92587 <1% 44 $464.73
98967 <1% 16 $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) <1% 14 $204.96

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 officialSMITH, KELLY (VP/ENTERPRISE REVENUE CYCLE)
Parent organizationUNIVERSITY PROFESSIONAL SERVICES
Same official

Other billing entities under SMITH, KELLY

Full network →

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