Virginia Garcia Memorial Health Center
Virginia Garcia Memorial Health Center was paid $193K by Medicaid between Jan 2018 and Nov 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
BEAVERTON, OR 97005
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 | 963 | $38K | |
| 2019 | 673 | $39K | |
| 2020 | 821 | $35K | |
| 2021 | 346 | $6K | |
| 2022 | 616 | $16K | |
| 2023 | 1,112 | $29K | |
| 2024incomplete | 2,245 | $29K |
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 | 36% | 997 | 943 | $69K |
| 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 | 10% | 191 | 174 | $19K |
| 90686 | 7.7% | 731 | 724 | $15K | |
| 90651 | 6.4% | 324 | 322 | $12K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.2% | 71 | 51 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.3% | 60 | 60 | $6K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.9% | 62 | 56 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 51 | 50 | $6K |
| 92551 | 2.7% | 510 | 497 | $5K | |
| 90633 | 2.5% | 226 | 223 | $5K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.3% | 45 | 44 | $4K |
| 90716 | 2.2% | 145 | 143 | $4K |
36 more codes
| 90715 | 2.1% | 185 | $4K | |
| 90713 | 1.6% | 150 | $3K | |
| 99441 | 1.5% | 73 | $3K | |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 1.2% | 25 | $2K |
| 90744 | 1.2% | 111 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.0% | 105 | $2K |
| 90619 | <1% | 82 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 18 | $1K |
| 99442 | <1% | 30 | $1K | |
| 90656 | <1% | 68 | $1K | |
| 90670 | <1% | 54 | $1K | |
| 96160 | <1% | 373 | $987.17 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 113 | $918.88 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 57 | $831.37 |
| 90723 | <1% | 33 | $702.72 | |
| 99173 | <1% | 517 | $671.51 | |
| 90707 | <1% | 25 | $640.96 | |
| 99384 | <1% | 13 | $538.83 | |
| 90734 | <1% | 27 | $505.08 | |
| 90680 | <1% | 17 | $351.36 | |
| 90710 | <1% | 15 | $285.48 | |
| 90700 | <1% | 13 | $285.48 | |
| 90647 | <1% | 12 | $263.52 | |
| D1206 | Topical application of fluoride varnish | <1% | 13 | $185.51 |
| 3078F | 0% | 102 | $0.00 | |
| 4274F | 0% | 122 | $0.00 | |
| 1160F | 0% | 116 | $0.00 | |
| 1159F | 0% | 116 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 12 | $0.00 |
| 1036F | 0% | 115 | $0.00 | |
| 3008F | 0% | 111 | $0.00 | |
| 2000F | 0% | 104 | $0.00 | |
| 2001F | 0% | 97 | $0.00 | |
| 2010F | 0% | 167 | $0.00 | |
| 4037F | 0% | 69 | $0.00 | |
| 3074F | 0% | 103 | $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 | Hillsboro, OR | $780K |
| 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 | 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.