Clinic
Virginia Garcia Memorial Health Center
Virginia Garcia Memorial Health Center was paid $4.10M by Medicaid between Jan 2018 and Dec 2024, across 145 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoVIRGINIA GARCIA MEMORIAL HEALTH CENTER
CORNELIUS, OR 97113
CORNELIUS, OR 97113
33aNPI1679528012assigned 05/24/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.10M
24GClaims210,570
24DCodes billed145
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Oregon
Rank by total paid#13 of 90
Median peer was paid$254K
This provider vs. median16×
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.
Entity ProliferationAuthorized official DENNIS, ANNMARIE controls 17+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 29,205 | $815K | |
| 2019 | 25,854 | $770K | |
| 2020 | 21,584 | $484K | |
| 2021 | 31,059 | $719K | |
| 2022 | 31,176 | $600K | |
| 2023 | 34,917 | $580K | |
| 2024incomplete | 36,775 | $137K |
Box 24 · Service lines
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 | 24% | 25,421 | 21,149 | $985K |
| 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 | 5.5% | 11,777 | 9,771 | $227K |
| D1206 | Topical application of fluoride varnish | 4.8% | 13,047 | 12,448 | $198K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.4% | 4,796 | 4,644 | $182K |
| D1351 | Sealant - per tooth | 4.4% | 7,237 | 2,366 | $181K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.4% | 6,586 | 6,342 | $181K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.8% | 1,692 | 1,252 | $155K |
| D1110 | Prophylaxis - adult | 3.7% | 3,296 | 3,177 | $153K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.2% | 2,010 | 1,458 | $132K |
| D7140 | Extraction, erupted tooth or exposed root | 2.9% | 1,631 | 927 | $121K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 3,055 | 2,802 | $111K |
| D0210 | Intraoral - complete series of radiographic images | 2.6% | 2,324 | 2,168 | $109K |
133 more codes
| 90686 | 2.3% | 5,504 | $93K | |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 2,723 | $92K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 12,113 | $91K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 1,677 | $89K |
| D0274 | Bitewings - four radiographic images | 1.9% | 3,103 | $79K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 6,541 | $77K |
| 0012A | 1.5% | 1,089 | $63K | |
| 0011A | 1.4% | 1,043 | $58K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.1% | 714 | $44K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.1% | 1,343 | $44K |
| D0191 | <1% | 4,550 | $34K | |
| 0001A | <1% | 637 | $33K | |
| D0272 | Bitewings - two radiographic images | <1% | 1,928 | $33K |
| 99442 | <1% | 5,475 | $32K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,769 | $29K |
| D0240 | <1% | 1,697 | $26K | |
| 0064A | <1% | 491 | $25K | |
| 96158 | <1% | 679 | $25K | |
| 0002A | <1% | 484 | $23K | |
| G9001 | Coordinated care fee, initial rate | <1% | 84 | $23K |
| 0124A | <1% | 562 | $19K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 171 | $19K |
| 0071A | <1% | 278 | $18K | |
| H0031 | Mental health assessment, by non-physician | <1% | 139 | $18K |
| 97810 | <1% | 2,521 | $16K | |
| D4341 | <1% | 164 | $14K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 186 | $14K |
| 96152 | <1% | 685 | $14K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,327 | $13K |
| 96150 | <1% | 627 | $12K | |
| D4910 | <1% | 208 | $12K | |
| 96156 | <1% | 286 | $11K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,168 | $11K |
| 99443 | <1% | 1,224 | $11K | |
| D2140 | <1% | 200 | $10K | |
| 0072A | <1% | 152 | $9K | |
| 91320 | <1% | 90 | $7K | |
| 90837 | Psychotherapy session, about an hour | <1% | 127 | $7K |
| 98967 | <1% | 273 | $7K | |
| 99441 | <1% | 2,236 | $6K | |
| 98968 | <1% | 166 | $6K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 68 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 205 | $5K |
| 90677 | <1% | 28 | $5K | |
| 92551 | <1% | 442 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 782 | $4K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 55 | $4K |
| 90746 | <1% | 95 | $4K | |
| 90651 | <1% | 124 | $4K | |
| 90715 | <1% | 173 | $4K | |
| 0054A | <1% | 94 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 162 | $4K |
| D0270 | <1% | 306 | $3K | |
| D4342 | <1% | 47 | $3K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 54 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 56 | $3K |
| D9995 | <1% | 589 | $2K | |
| 90633 | <1% | 138 | $2K | |
| 90480 | <1% | 188 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 47 | $2K |
| D1354 | <1% | 865 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 30 | $2K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 17 | $2K |
| 90674 | <1% | 213 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 136 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 14 | $2K |
| 96160 | <1% | 675 | $2K | |
| 90713 | <1% | 70 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 297 | $1K |
| 90716 | <1% | 41 | $1K | |
| 90670 | <1% | 53 | $1K | |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 12 | $1K |
| 0004A | <1% | 32 | $1K | |
| 90656 | <1% | 69 | $1K | |
| 80061 | Lipid panel | <1% | 325 | $974.66 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 33 | $830.00 |
| 0154A | <1% | 18 | $720.00 | |
| 90744 | <1% | 44 | $718.30 | |
| 90734 | <1% | 41 | $680.76 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 104 | $653.42 |
| D2940 | <1% | 17 | $595.00 | |
| 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% | 52 | $593.37 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 43 | $510.35 |
| 0074A | <1% | 12 | $480.00 | |
| 98966 | <1% | 45 | $473.77 | |
| 90680 | <1% | 33 | $461.16 | |
| 97811 | <1% | 49 | $436.70 | |
| 99173 | <1% | 357 | $434.53 | |
| 0134A | <1% | 13 | $360.00 | |
| 90723 | <1% | 20 | $329.40 | |
| G0467 | Community health center visit, returning patient | <1% | 666 | $285.86 |
| 81025 | <1% | 52 | $235.17 | |
| 90700 | <1% | 14 | $229.59 | |
| 90707 | <1% | 18 | $219.60 | |
| D0330 | Panoramic radiographic image | <1% | 20 | $156.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15 | $150.41 |
| 99401 | <1% | 15 | $111.32 | |
| 81003 | <1% | 80 | $56.62 | |
| 81002 | <1% | 31 | $36.60 | |
| D0603 | <1% | 3,198 | $22.72 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 25 | $20.94 |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | <1% | 29 | $19.77 |
| 85018 | <1% | 13 | $19.52 | |
| D0602 | <1% | 2,221 | $16.49 | |
| D1330 | <1% | 7,919 | $0.23 | |
| 91307 | <1% | 631 | $0.16 | |
| D1310 | <1% | 7,676 | $0.11 | |
| 91306 | <1% | 491 | $0.09 | |
| 91312 | <1% | 568 | $0.06 | |
| 91313 | <1% | 25 | $0.03 | |
| 91308 | <1% | 13 | $0.01 | |
| 3351F | 0% | 662 | $0.00 | |
| 3008F | 0% | 2,716 | $0.00 | |
| 2010F | 0% | 3,256 | $0.00 | |
| 91301 | 0% | 921 | $0.00 | |
| 1036F | 0% | 2,269 | $0.00 | |
| 3074F | 0% | 2,325 | $0.00 | |
| 2001F | 0% | 2,520 | $0.00 | |
| 2000F | 0% | 2,842 | $0.00 | |
| 91305 | 0% | 123 | $0.00 | |
| 3044F | 0% | 87 | $0.00 | |
| 4037F | 0% | 85 | $0.00 | |
| 4010F | 0% | 80 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 39 | $0.00 |
| 91315 | 0% | 25 | $0.00 | |
| 3075F | 0% | 13 | $0.00 | |
| 3078F | 0% | 2,437 | $0.00 | |
| 4040F | 0% | 664 | $0.00 | |
| 1159F | 0% | 1,845 | $0.00 | |
| 4274F | 0% | 1,968 | $0.00 | |
| 1160F | 0% | 1,845 | $0.00 | |
| 99502 | 0% | 421 | $0.00 | |
| D9990 | 0% | 18 | $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 officialDENNIS, ANNMARIE (CORPORATE COMPLIANCE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| 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 | 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.