Medicaid Provider Spending

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

LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER

NPI: 1679597108 · PORTLAND, OR 97210 · Psychiatry Physician · NPI assigned 07/27/2006

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

Authorized official JENSEN, SARAH controls 20+ related entities in our dataset. Read more

$3.90M
Total Medicaid Paid
72,843
Total Claims
64,995
Beneficiaries
66
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJENSEN, SARAH (VP FINANCE)
Parent OrganizationLEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
NPI Enumeration Date07/27/2006

Related Entities

Other providers sharing the same authorized official: JENSEN, SARAH

ProviderCityStateTotal Paid
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $64.24M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $50.80M
LEGACY CLINICS LLC PORTLAND OR $48.79M
LEGACY SALMON CREEK HOSPITAL VANCOUVER WA $48.76M
LEGACY MOUNT HOOD MEDICAL CENTER GRESHAM OR $43.16M
SILVERTON HEALTH SILVERTON OR $29.18M
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND OR $18.33M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $17.03M
LEGACY MERIDIAN PARK HOSPITAL TUALATIN OR $13.28M
LEGACY SALMON CREEK HOSPITAL VANCOUVER WA $9.93M
SILVERTON HEALTH SILVERTON OR $9.72M
LEGACY MERIDIAN PARK HOSPITAL TUALATIN OR $2.38M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER SAINT HELENS OR $1.78M
SILVERTON HEALTH SILVERTON OR $1.62M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $1.48M
SILVERTON HEALTH MOUNT ANGEL OR $1.18M
LEGACY CLINICS LLC SANDY OR $654K
LEGACY EMANUEL HOSPITAL & HEALTH CENTER SAINT HELENS OR $64K
REGIONAL DERMATOLOGY, LLC FESTUS MO $38K
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND OR $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,479 $442K
2019 12,276 $576K
2020 7,656 $334K
2021 9,543 $457K
2022 9,500 $528K
2023 10,278 $709K
2024 13,111 $857K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,478 15,854 $1.15M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,134 14,680 $759K
97803 3,603 3,531 $300K
67028 Intravitreal injection of a pharmacologic agent 6,027 4,423 $291K
99215 Prolong outpt/office vis 3,042 2,765 $266K
J0178 Injection, aflibercept, 1 mg 155 142 $179K
92134 9,203 8,230 $134K
90832 Psychotherapy, 30 minutes with patient 1,647 1,166 $95K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,759 1,607 $94K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 971 917 $91K
19318 74 53 $88K
J7999 Compounded drug, not otherwise classified 1,318 1,056 $72K
90791 Psychiatric diagnostic evaluation 562 504 $57K
99205 Prolong outpt/office vis 387 366 $49K
97164 1,170 1,149 $46K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 865 774 $35K
97530 Therapeutic activities, direct patient contact, each 15 minutes 527 508 $31K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 3,437 3,265 $27K
97802 105 105 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 109 107 $18K
98968 316 308 $15K
96158 272 203 $10K
99443 398 244 $8K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 218 216 $7K
96152 59 55 $7K
98967 121 121 $5K
90686 372 362 $5K
91322 69 67 $5K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 26 25 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 195 194 $4K
96153 115 109 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 112 95 $3K
96150 26 26 $3K
99232 Subsequent hospital care, per day, moderate complexity 48 14 $3K
99442 100 91 $2K
90834 Psychotherapy, 45 minutes with patient 18 12 $2K
92285 662 582 $2K
90480 69 67 $1K
99401 48 47 $1K
97161 14 14 $1K
C9257 Injection, bevacizumab, 0.25 mg 28 27 $927.30
0004A 34 32 $880.00
96164 128 125 $856.57
J9035 Injection, bevacizumab, 10 mg 19 16 $750.43
97162 12 12 $713.51
99406 39 37 $683.06
96156 17 14 $506.29
96103 84 82 $498.12
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 12 12 $408.14
96159 22 17 $357.48
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 46 39 $300.41
83036 Hemoglobin; glycosylated (A1C) 64 63 $254.40
90674 12 12 $249.99
92083 31 25 $248.44
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $217.36
92015 Determination of refractive state 15 13 $189.55
92250 12 12 $185.51
99231 Subsequent hospital care, per day, straightforward or low complexity 17 12 $177.60
90656 13 13 $159.75
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 25 24 $122.69
96146 90 84 $66.12
90662 17 17 $65.50
G0008 Administration of influenza virus vaccine 95 91 $57.88
96165 17 15 $54.34
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 131 123 $0.00
99024 20 12 $0.00