Legacy Good Samaritan Hospital and Medical Center
Legacy Good Samaritan Hospital and Medical Center was paid $3.90M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
PORTLAND, OR 97210
Next to other Psychiatry Physician providers in Oregon
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 13,111 | $857K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 29% | 17,478 | 15,854 | $1.15M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 16,134 | 14,680 | $759K |
| 97803 | 7.7% | 3,603 | 3,531 | $300K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 7.5% | 6,027 | 4,423 | $291K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.8% | 3,042 | 2,765 | $266K |
| J0178 | Injection, aflibercept, 1 mg | 4.6% | 155 | 142 | $179K |
| 92134 | 3.4% | 9,203 | 8,230 | $134K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.4% | 1,647 | 1,166 | $95K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.4% | 1,759 | 1,607 | $94K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.3% | 971 | 917 | $91K |
| 19318 | 2.3% | 74 | 53 | $88K | |
| J7999 | Compounded drug, not otherwise classified | 1.9% | 1,318 | 1,056 | $72K |
54 more codes
| 90791 | Psychiatric diagnostic evaluation | 1.5% | 562 | $57K |
| 99205 | Prolong outpt/office vis | 1.3% | 387 | $49K |
| 97164 | 1.2% | 1,170 | $46K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 865 | $35K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 527 | $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) | <1% | 3,437 | $27K |
| 97802 | <1% | 105 | $18K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 109 | $18K |
| 98968 | <1% | 316 | $15K | |
| 96158 | <1% | 272 | $10K | |
| 99443 | <1% | 398 | $8K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 218 | $7K |
| 96152 | <1% | 59 | $7K | |
| 98967 | <1% | 121 | $5K | |
| 90686 | <1% | 372 | $5K | |
| 91322 | <1% | 69 | $5K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 26 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 195 | $4K |
| 96153 | <1% | 115 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 112 | $3K |
| 96150 | <1% | 26 | $3K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 48 | $3K |
| 99442 | <1% | 100 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 18 | $2K |
| 92285 | <1% | 662 | $2K | |
| 90480 | <1% | 69 | $1K | |
| 99401 | <1% | 48 | $1K | |
| 97161 | <1% | 14 | $1K | |
| C9257 | Injection, bevacizumab, 0.25 mg | <1% | 28 | $927.30 |
| 0004A | <1% | 34 | $880.00 | |
| 96164 | <1% | 128 | $856.57 | |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 19 | $750.43 |
| 97162 | <1% | 12 | $713.51 | |
| 99406 | <1% | 39 | $683.06 | |
| 96156 | <1% | 17 | $506.29 | |
| 96103 | <1% | 84 | $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) | <1% | 12 | $408.14 |
| 96159 | <1% | 22 | $357.48 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 46 | $300.41 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 64 | $254.40 |
| 90674 | <1% | 12 | $249.99 | |
| 92083 | <1% | 31 | $248.44 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $217.36 |
| 92015 | Determination of refractive state | <1% | 15 | $189.55 |
| 92250 | <1% | 12 | $185.51 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 17 | $177.60 |
| 90656 | <1% | 13 | $159.75 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 25 | $122.69 |
| 96146 | <1% | 90 | $66.12 | |
| 90662 | <1% | 17 | $65.50 | |
| G0008 | Administration of influenza virus vaccine | <1% | 95 | $57.88 |
| 96165 | <1% | 17 | $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) | 0% | 131 | $0.00 |
| 99024 | 0% | 20 | $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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.