Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OR › Klamath Falls › NPI 1659340370
Physician

Sky Lakes Medical Center INC

Sky Lakes Medical Center INC was paid $30.27M by Medicaid between Jan 2018 and Dec 2024, across 286 billing codes. Its largest line is 99284, emergency room visit (serious) — 23% of everything it billed.

33Billing provider infoSKY LAKES MEDICAL CENTER INC
KLAMATH FALLS, OR 97601
33aNPI1659340370assigned 03/15/2006
28Total paid$30.27M
24GClaims1,036,901
24DCodes billed286
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Physician providers in Oregon

Rank by total paid#3 of 23
Median peer was paid$112K
This provider vs. median271×

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.

Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
2018119,494$3.06M
2019143,542$3.96M
2020133,323$4.08M
2021174,174$4.84M
2022185,740$5.34M
2023171,792$5.18M
2024incomplete108,836$3.81M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 23% 61,323 48,838 $7.04M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 22% 72,204 55,858 $6.51M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 19% 23,156 19,367 $5.61M
99282 Emergency department visit for the evaluation and management, low to moderate severity 5.8% 35,215 26,710 $1.75M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4.6% 13,077 11,910 $1.39M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 3.9% 177,222 152,742 $1.19M
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 2.6% 809 722 $777K
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 1.7% 42,763 37,959 $501K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.6% 75,210 67,831 $470K
71045 Radiologic examination, chest; single view 1.2% 26,476 21,721 $363K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.0% 3,459 3,163 $308K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,691 1,232 $290K
274 more codes
96361 Intravenous infusion, hydration; each additional hour <1% 7,010 $258K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 37,928 $220K
96375 Therapeutic injection; each additional sequential IV push <1% 6,509 $216K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 1,192 $192K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 3,343 $186K
77067 Screening mammography, bilateral, including computer-aided detection <1% 5,118 $152K
99205 Prolong outpt/office vis <1% 546 $136K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 10,121 $132K
71046 Radiologic examination, chest; 2 views <1% 11,554 $131K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 2,519 $122K
99203 Doctor's office visit, new patient (routine) <1% 1,497 $107K
76819 Fetal biophysical profile; without non-stress testing <1% 1,275 $102K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 2,337 $97K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 955 $94K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,045 $85K
70450 Computed tomography, head or brain; without contrast material <1% 1,941 $81K
76641 <1% 2,581 $79K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 1,357 $77K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,903 $69K
41899 Unlisted procedure, dentoalveolar structures <1% 311 $67K
76830 Ultrasound, transvaginal <1% 2,140 $65K
99204 Doctor's office visit, new patient (more involved) <1% 720 $64K
99215 Doctor's office visit, returning patient (complex) <1% 828 $62K
76813 <1% 705 $57K
99070 <1% 2,618 $55K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 16,904 $55K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 65,985 $47K
90686 <1% 3,298 $46K
96415 <1% 1,156 $44K
0012A <1% 1,783 $43K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,759 $43K
80053 Comprehensive metabolic panel <1% 44,868 $40K
0011A <1% 1,484 $36K
0002A <1% 1,175 $30K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 602 $30K
72110 <1% 630 $29K
0001A <1% 1,016 $28K
0064A <1% 1,127 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 3,085 $26K
99201 <1% 667 $25K
73630 <1% 1,445 $24K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 2,209 $18K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 557 $17K
87806 <1% 990 $16K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 874 $16K
73610 <1% 834 $14K
92557 <1% 647 $14K
80074 <1% 888 $13K
73030 <1% 1,093 $13K
77063 Screening digital breast tomosynthesis, bilateral <1% 4,229 $12K
76536 <1% 545 $12K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 74 $12K
J3490 Unclassified drugs <1% 324 $12K
87086 Culture, bacterial; quantitative colony count, urine <1% 8,810 $11K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 24 $10K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 39 $10K
90792 Psychiatric diagnostic evaluation with medical services <1% 141 $10K
77066 Tomosynthesis, mammo <1% 247 $9K
17000 <1% 967 $9K
72100 <1% 931 $9K
76770 <1% 327 $9K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 124 $9K
80048 Basic metabolic panel (calcium, ionized) <1% 11,114 $8K
81001 <1% 21,588 $8K
0004A <1% 382 $8K
96158 <1% 408 $8K
0072A <1% 197 $8K
93976 <1% 217 $8K
97597 <1% 579 $8K
36415 Collection of venous blood by venipuncture <1% 78,721 $7K
0071A <1% 187 $7K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 166 $7K
73564 <1% 159 $7K
73130 <1% 758 $7K
29848 <1% 13 $7K
72050 <1% 117 $7K
0240U <1% 554 $7K
93971 <1% 444 $7K
84443 Thyroid stimulating hormone (TSH) <1% 6,401 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,933 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,073 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 106 $6K
52000 <1% 76 $6K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 955 $6K
73562 <1% 740 $6K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 163 $5K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 65 $5K
74018 <1% 665 $5K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision <1% 1,018 $5K
84484 <1% 10,411 $5K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 143 $5K
11102 <1% 192 $5K
86900 <1% 383 $4K
31575 <1% 73 $4K
99222 Initial hospital care, per day, moderate complexity <1% 138 $4K
99232 Hospital visit by a doctor, follow-up day <1% 582 $4K
90837 Psychotherapy session, about an hour <1% 37 $4K
0031A <1% 117 $4K
83690 <1% 8,241 $4K
99170 <1% 99 $4K
80061 Lipid panel <1% 4,613 $4K
83036 Hemoglobin; glycosylated (A1C) <1% 5,262 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,673 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 247 $3K
73502 <1% 308 $3K
73110 <1% 223 $3K
77065 Tomosynthesis, mammo <1% 93 $3K
93970 <1% 145 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,341 $3K
96156 <1% 77 $3K
71275 Computed tomographic angiography, chest, with contrast material <1% 60 $3K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 3,634 $3K
72141 <1% 13 $2K
71250 <1% 93 $2K
J7030 Infusion, normal saline solution , 1000 cc <1% 237 $2K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 976 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 62 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 884 $2K
71270 <1% 15 $2K
96152 <1% 73 $2K
87486 <1% 885 $2K
87581 <1% 885 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,261 $2K
92550 <1% 106 $2K
90677 <1% 14 $2K
76801 <1% 28 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 129 $1K
0054A <1% 82 $1K
99238 Hospital discharge day management, 30 minutes or less <1% 169 $1K
80076 <1% 2,495 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 753 $1K
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,279 $1K
92567 <1% 137 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 578 $1K
82652 <1% 218 $1K
77080 <1% 216 $1K
87634 <1% 48 $1K
93227 <1% 104 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 108 $1K
93307 <1% 62 $1K
86592 <1% 1,173 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 503 $955.88
17003 <1% 390 $937.70
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test <1% 147 $924.73
93296 <1% 63 $873.94
J0690 Injection, cefazolin sodium, 500 mg <1% 376 $785.82
94060 <1% 51 $775.67
J2704 Injection, propofol, 10 mg <1% 288 $771.69
96127 <1% 1,485 $718.16
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 248 $701.25
96150 <1% 15 $694.69
80306 <1% 2,062 $694.24
0450 Emergency room services <1% 30 $693.00
95251 <1% 28 $679.55
93356 <1% 193 $674.73
73221 <1% 13 $643.19
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 31 $632.29
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 951 $610.14
80047 <1% 2,395 $563.74
72040 <1% 55 $514.42
96159 <1% 45 $509.64
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 108 $459.01
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 234 $450.01
99443 <1% 109 $402.98
0051A <1% 13 $400.00
90715 <1% 20 $395.41
86850 <1% 472 $394.01
85610 <1% 1,125 $370.09
86140 <1% 2,863 $366.76
76882 <1% 15 $345.42
83605 <1% 767 $343.80
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 44 $342.80
99221 <1% 28 $338.28
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 15 $317.87
85027 <1% 1,402 $306.45
0013A <1% 18 $306.00
99239 Hospital discharge day management, more than 30 minutes <1% 12 $301.11
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 443 $278.12
J2270 Injection, morphine sulfate, up to 10 mg <1% 786 $271.41
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 112 $262.21
94726 <1% 54 $260.01
86780 <1% 199 $258.81
99223 Prolong inpt eval add15 m <1% 49 $258.21
99417 Prolong home eval add 15m <1% 49 $241.12
90670 <1% 13 $224.04
93294 <1% 15 $221.67
73560 <1% 31 $219.33
85652 <1% 3,057 $215.01
84703 <1% 1,919 $203.90
93000 <1% 38 $201.01
94729 <1% 56 $198.39
93922 <1% 26 $191.66
81025 <1% 356 $160.39
99442 <1% 223 $155.99
81003 <1% 655 $154.37
84481 <1% 36 $153.98
51798 <1% 1,173 $138.04
82274 <1% 72 $133.49
72070 <1% 13 $120.76
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 14 $120.64
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg <1% 21 $118.08
86769 <1% 76 $107.85
85379 <1% 286 $104.42
84145 <1% 203 $103.76
84439 <1% 224 $100.91
87522 Neg quan hep c or qual rna <1% 150 $98.03
87081 <1% 193 $93.84
87495 <1% 14 $84.08
77085 <1% 23 $83.29
82550 <1% 1,442 $80.85
83874 <1% 1,231 $79.31
J1040 Injection, methylprednisolone acetate, 80 mg <1% 12 $78.40
82728 <1% 274 $76.32
86901 <1% 383 $72.88
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 106 $66.49
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 194 $60.96
87340 <1% 144 $59.46
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 74 $57.68
J0780 Injection, prochlorperazine, up to 10 mg <1% 67 $57.05
84702 <1% 402 $56.71
83880 <1% 683 $54.27
82553 <1% 1,345 $53.27
86160 <1% 79 $50.40
85730 <1% 105 $49.58
87070 <1% 72 $47.19
83615 <1% 225 $45.38
G0475 Hiv antigen/antibody, combination assay, screening <1% 86 $40.96
82310 <1% 41 $38.72
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 19 $30.88
87186 <1% 27 $12.25
82947 <1% 17 $10.20
86225 <1% 39 $9.62
87088 <1% 78 $8.72
85049 <1% 75 $7.35
36416 <1% 140 $7.12
87077 <1% 14 $7.08
99441 <1% 118 $7.04
85007 <1% 12 $5.32
83735 <1% 192 $4.69
82950 <1% 14 $3.69
82962 <1% 48 $2.49
3074F 0% 593 $0.00
86762 0% 47 $0.00
J2060 Injection, lorazepam, 2 mg 0% 82 $0.00
G0008 Administration of influenza virus vaccine 0% 87 $0.00
3075F 0% 28 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 32 $0.00
3079F 0% 129 $0.00
0305 0% 16 $0.00
96376 0% 76 $0.00
82607 0% 12 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 45 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 0% 40 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 0% 13 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 49 $0.00
99024 0% 141 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 18 $0.00
0301 0% 14 $0.00
99153 Mod sedat endo service >5yrs 0% 12 $0.00
86706 0% 27 $0.00
0250 0% 39 $0.00
86704 0% 22 $0.00
3078F 0% 451 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 26 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 0% 113 $0.00
84100 0% 14 $0.00
83655 0% 12 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 102 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 0% 41 $0.00
88112 0% 60 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 0% 71 $0.00
0300 0% 17 $0.00
87902 0% 19 $0.00
99152 0% 12 $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.

From NPPES

Who's on the registration

Authorized officialRICO, RICHARD (VP)
Same official

Other billing entities under RICO, RICHARD

Full network →
ProviderLocationPaid
West Physician Services LLCKlamath Falls, OR$280K

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