Medicaid Provider Spending

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

BOULDER CARE PROVIDER GROUP PA

NPI: 1649838590 · PORTLAND, OR 97204 · Addiction Medicine (Family Medicine) Physician · NPI assigned 06/04/2019

$6.72M
Total Medicaid Paid
96,428
Total Claims
73,290
Beneficiaries
19
Codes Billed
2020-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHIVDASANI, PIA (VP OPERATIONS, AUTHORIZED AGENT)
NPI Enumeration Date06/04/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 50 $838.36
2021 3,180 $245K
2022 12,430 $768K
2023 44,013 $2.66M
2024 36,755 $3.05M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 54,731 39,611 $3.15M
H2036 Alcohol and/or other drug treatment program, per diem 2,414 2,370 $889K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 1,843 1,794 $725K
H0047 Alcohol and/or other drug abuse services, not otherwise specified 2,724 2,630 $513K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,007 7,081 $458K
99215 Prolong outpt/office vis 6,105 3,861 $452K
99205 Prolong outpt/office vis 1,848 1,399 $183K
T1041 Medicaid certified community behavioral health clinic services, per month 497 495 $136K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,252 955 $87K
99406 9,727 7,940 $65K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,377 2,768 $33K
S9475 Ambulatory setting substance abuse treatment or detoxification services, per diem 100 98 $27K
99408 2,332 1,860 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 98 67 $2K
99442 39 35 $1K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 25 25 $1K
99443 13 13 $930.34
99441 279 276 $29.95
H0038 Self-help/peer services, per 15 minutes 17 12 $0.00