Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pohala Clinic PC

Pohala Clinic PC was paid $898K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 44% of everything it billed.

33Billing provider infoPOHALA CLINIC PC
PORTLAND, OR 97206
33aNPI1689025231assigned 06/24/2016
33bProvider typeNaturopath
28Total paid$898K
24GClaims11,621
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Naturopath providers in Oregon

Rank by total paid#6 of 78
Median peer was paid$20K
This provider vs. median44×

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$20K$40K$60K2018201920202021202220232024
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
2018625$48K
2019918$55K
2020968$72K
20211,679$109K
20222,626$213K
20232,376$176K
2024incomplete2,429$225K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 44% 2,624 2,199 $392K
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 35% 3,111 2,678 $317K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.4% 621 486 $48K
97810 3.7% 1,014 562 $33K
97811 2.7% 971 544 $24K
99205 Prolong outpt/office vis 1.7% 83 77 $15K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 1.5% 402 169 $14K
99401 1.5% 403 307 $14K
G0444 Annual depression screening, 5 to 15 minutes <1% 452 414 $7K
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 379 357 $6K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 30 30 $5K
99408 <1% 153 153 $4K
11 more codes
99417 Prolong home eval add 15m <1% 79 $3K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 109 $3K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 84 $3K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) <1% 64 $2K
98928 <1% 24 $2K
36415 Collection of venous blood by venipuncture <1% 486 $2K
98925 <1% 59 $2K
99072 <1% 98 $1K
96127 <1% 346 $1K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 12 $384.76
99406 <1% 17 $237.49

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 officialCOPENHAGEN, BECKY (OFFICE MANAGER)