Virginia Garcia Memorial Health Center
Virginia Garcia Memorial Health Center was paid $780K by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
HILLSBORO, OR 97123
Next to other Federally Qualified Health Center (FQHC) providers in Oregon
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 10,034 | $95K | |
| 2019 | 8,364 | $101K | |
| 2020 | 7,986 | $117K | |
| 2021 | 10,168 | $154K | |
| 2022 | 7,808 | $79K | |
| 2023 | 10,355 | $123K | |
| 2024incomplete | 31,403 | $110K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 20% | 13,156 | 11,391 | $156K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 14,291 | 12,625 | $115K |
| 90686 | 11% | 4,721 | 4,647 | $84K | |
| 99442 | 8.7% | 8,435 | 7,908 | $68K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 5.3% | 394 | 391 | $41K |
| 0012A | 3.9% | 880 | 879 | $31K | |
| 0011A | 3.3% | 788 | 784 | $26K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.3% | 289 | 226 | $25K |
| 99441 | 2.5% | 4,469 | 4,262 | $20K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.3% | 2,775 | 2,709 | $18K |
| 96156 | 2.1% | 438 | 428 | $16K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2.1% | 576 | 402 | $16K |
70 more codes
| 96158 | 2.1% | 454 | $16K | |
| 90677 | 1.8% | 73 | $14K | |
| 96150 | 1.6% | 543 | $12K | |
| 99443 | 1.5% | 805 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 964 | $10K |
| 90746 | 1.3% | 250 | $10K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.3% | 1,742 | $10K |
| 98968 | 1.2% | 278 | $9K | |
| 0002A | 1.0% | 202 | $8K | |
| 91320 | 1.0% | 104 | $8K | |
| 96152 | <1% | 233 | $6K | |
| 0001A | <1% | 141 | $5K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 352 | $5K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 246 | $5K |
| 90674 | <1% | 310 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,327 | $3K |
| 90715 | <1% | 102 | $3K | |
| 92551 | <1% | 268 | $3K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 13 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 201 | $2K |
| 0064A | <1% | 54 | $2K | |
| 96160 | <1% | 592 | $2K | |
| 90480 | <1% | 111 | $1K | |
| H0031 | Mental health assessment, by non-physician | <1% | 12 | $1K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 90 | $1K |
| 98967 | <1% | 47 | $970.49 | |
| 0124A | <1% | 26 | $852.87 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 98 | $846.56 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 63 | $737.51 |
| 90656 | <1% | 44 | $732.51 | |
| 90707 | <1% | 31 | $680.76 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | $599.70 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 39 | $536.51 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 40 | $501.12 |
| 80061 | Lipid panel | <1% | 148 | $458.90 |
| G0467 | Community health center visit, returning patient | <1% | 1,375 | $334.39 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 26 | $308.68 |
| 90670 | <1% | 14 | $263.52 | |
| 90648 | <1% | 12 | $263.52 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $215.58 |
| 96159 | <1% | 13 | $209.91 | |
| 99173 | <1% | 109 | $200.22 | |
| 90750 | <1% | 43 | $162.25 | |
| 82044 | <1% | 12 | $52.94 | |
| 81002 | <1% | 29 | $4.88 | |
| 81003 | <1% | 27 | $3.16 | |
| 91301 | <1% | 1,143 | $0.03 | |
| 3078F | 0% | 2,049 | $0.00 | |
| 1159F | 0% | 1,333 | $0.00 | |
| 4274F | 0% | 1,563 | $0.00 | |
| 4040F | 0% | 684 | $0.00 | |
| 1160F | 0% | 1,333 | $0.00 | |
| 91312 | 0% | 26 | $0.00 | |
| 3077F | 0% | 18 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 13 | $0.00 |
| 2001F | 0% | 2,321 | $0.00 | |
| 4010F | 0% | 286 | $0.00 | |
| 2000F | 0% | 2,575 | $0.00 | |
| 1036F | 0% | 1,821 | $0.00 | |
| 3074F | 0% | 1,841 | $0.00 | |
| 3008F | 0% | 2,466 | $0.00 | |
| 2010F | 0% | 3,030 | $0.00 | |
| 3075F | 0% | 42 | $0.00 | |
| 3351F | 0% | 455 | $0.00 | |
| 91306 | 0% | 42 | $0.00 | |
| 91307 | 0% | 44 | $0.00 | |
| 3044F | 0% | 37 | $0.00 | |
| 4037F | 0% | 46 | $0.00 | |
| 1034F | 0% | 12 | $0.00 | |
| 3079F | 0% | 39 | $0.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Virginia Garcia Memorial Health Center | Cornelius, OR | $4.10M |
| Virginia Garcia Memorial Health Center | Mcminnville, OR | $2.89M |
| Virginia Garcia Memorial Health Center | Cornelius, OR | $2.34M |
| Virginia Garcia Memorial Health Center | Beaverton, OR | $1.97M |
| Virginia Garcia Memorial Health Center | Hillsboro, OR | $1.87M |
| Virginia Garcia Memorial Health Center | Beaverton, OR | $1.86M |
| Virginia Garcia Memorial Health Center | Beaverton, OR | $1.21M |
| Virginia Garcia Memorial Health Center | Newberg, OR | $678K |
| Virginia Garcia Memorial Health Center | Newberg, OR | $557K |
| Virginia Garcia Memorial Health Center | Hillsboro, OR | $264K |
| Virginia Garcia Memorial Health Center | Beaverton, OR | $193K |
| Virginia Garcia Memorial Health Center | Forest Grove, OR | $175K |
| Virginia Garcia Memorial Health Center | Mcminnville, OR | $104K |
| Virginia Garcia Memorial Health Center | Willamina, OR | $73K |
| Virginia Garcia Memorial Health Center | Hillsboro, OR | $48K |
| Virginia Garcia Memorial Health Center | Tigard, OR | $47K |
| Virginia Garcia Memorial Health Center | Beaverton, OR | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.