Medicaid Provider Spending

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

ICCO, LLC

NPI: 1619558640 · DALLAS, OR 97338 · Rural Health Clinic/Center · NPI assigned 04/20/2021

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

Authorized official HAUSER, ERICA controls 12+ related entities in our dataset. Read more

$646K
Total Medicaid Paid
9,408
Total Claims
8,232
Beneficiaries
14
Codes Billed
2022-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHAUSER, ERICA (CFO)
NPI Enumeration Date04/20/2021

Related Entities

Other providers sharing the same authorized official: HAUSER, ERICA

ProviderCityStateTotal Paid
ICCO, LLC EUGENE OR $11.34M
PEAK HEALTH & WELLNESS, LLC BELGRADE MT $3.62M
CARE UNITED MEDICAL CENTER OF LARAMIE, LLC LARAMIE WY $3.18M
ICCO, LLC EUGENE OR $2.54M
PHYSICIANS IMMEDIATE CARE & MEDICAL CENTERS, P.S. RICHLAND WA $2.24M
ICCO, LLC JUNCTION CITY OR $109K
ICCO LLC FLORENCE OR $99K
ICCO, LLC LEBANON OR $24K
ICCO, LLC ROSEBURG OR $4K
ICCO, LLC MCMINNVILLE OR $4K
ICCO, LLC NORTH BEND OR $2K
ICCO, LLC COTTAGE GROVE OR $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 918 $58K
2023 4,317 $218K
2024 4,173 $370K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,898 3,523 $323K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,911 1,742 $224K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 515 480 $39K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 626 563 $25K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 327 292 $16K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 354 290 $8K
87430 827 706 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 76 74 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 187 84 $2K
87400 314 131 $1K
81002 307 296 $580.87
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 25 24 $449.36
81025 12 12 $59.73
J8540 Dexamethasone, oral, 0.25 mg 29 15 $0.00