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 · 2084P0800X

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

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 17,478 15,854 $1.15M
99213 16,134 14,680 $759K
97803 3,603 3,531 $300K
67028 6,027 4,423 $291K
99215 Prolong outpt/office vis 3,042 2,765 $266K
J0178 Aflibercept injection 155 142 $179K
92134 9,203 8,230 $134K
90832 1,647 1,166 $95K
92014 1,759 1,607 $94K
92004 971 917 $91K
19318 74 53 $88K
J7999 Compounded drug, noc 1,318 1,056 $72K
90791 562 504 $57K
99205 Prolong outpt/office vis 387 366 $49K
97164 1,170 1,149 $46K
92012 865 774 $35K
97530 527 508 $31K
G2211 Complex e/m visit add on 3,437 3,265 $27K
97802 105 105 $18K
99204 109 107 $18K
98968 316 308 $15K
96158 272 203 $10K
99443 398 244 $8K
97110 218 216 $7K
96152 59 55 $7K
98967 121 121 $5K
90686 372 362 $5K
91322 69 67 $5K
66984 26 25 $4K
90471 195 194 $4K
96153 115 109 $4K
99203 112 95 $3K
96150 26 26 $3K
99232 48 14 $3K
99442 100 91 $2K
90834 18 12 $2K
92285 662 582 $2K
90480 69 67 $1K
99401 48 47 $1K
97161 14 14 $1K
C9257 Bevacizumab injection 28 27 $927.30
0004A 34 32 $880.00
96164 128 125 $856.57
J9035 Bevacizumab injection 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 Mod sedat endo service >5yrs 12 12 $408.14
96159 22 17 $357.48
93010 46 39 $300.41
83036 64 63 $254.40
90674 12 12 $249.99
92083 31 25 $248.44
99212 12 12 $217.36
92015 15 13 $189.55
92250 12 12 $185.51
99231 17 12 $177.60
90656 13 13 $159.75
99211 25 24 $122.69
96146 90 84 $66.12
90662 17 17 $65.50
G0008 Admin influenza virus vac 95 91 $57.88
96165 17 15 $54.34
G0296 Visit to determ ldct elig 131 123 $0.00
99024 20 12 $0.00