Clinic
Grande Ronde Hospital, INC
Grande Ronde Hospital, INC was paid $822K by Medicaid between Jan 2018 and Nov 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoGRANDE RONDE HOSPITAL, INC
LA GRANDE, OR 97850
LA GRANDE, OR 97850
33aNPI1689061491assigned 04/20/2015
33bProvider typeRural Health Clinic/Center
28Total paid$822K
24GClaims40,980
24DCodes billed43
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Oregon
Rank by total paid#21 of 65
Median peer was paid$295K
This provider vs. median2.8×
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
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 | 7,199 | $99K | |
| 2019 | 7,455 | $179K | |
| 2020 | 4,492 | $149K | |
| 2021 | 6,054 | $131K | |
| 2022 | 6,108 | $108K | |
| 2023 | 5,240 | $98K | |
| 2024incomplete | 4,432 | $58K |
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 | 45% | 17,055 | 15,963 | $371K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 11% | 2,298 | 1,274 | $92K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.9% | 2,190 | 2,026 | $73K |
| 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 | 7.9% | 2,845 | 2,720 | $65K |
| 90686 | 5.3% | 2,043 | 2,038 | $43K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.8% | 2,248 | 2,220 | $39K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.1% | 3,215 | 2,443 | $25K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.9% | 2,061 | 1,430 | $24K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 1,221 | 1,200 | $19K |
| 90670 | 1.8% | 732 | 721 | $15K | |
| 98968 | 1.5% | 430 | 291 | $12K | |
| 96152 | <1% | 733 | 495 | $6K |
31 more codes
| 96127 | <1% | 1,264 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 218 | $3K |
| 90698 | <1% | 175 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 95 | $3K |
| 90723 | <1% | 120 | $2K | |
| 90680 | <1% | 113 | $2K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 28 | $2K |
| 90647 | <1% | 107 | $2K | |
| 0072A | <1% | 30 | $2K | |
| 90656 | <1% | 79 | $2K | |
| 90685 | <1% | 76 | $2K | |
| 90697 | <1% | 44 | $965.80 | |
| 0071A | <1% | 23 | $920.00 | |
| 90633 | <1% | 38 | $768.38 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 54 | $743.31 |
| 96150 | <1% | 59 | $663.68 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 25 | $614.00 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 25 | $614.00 |
| 90677 | <1% | 26 | $570.96 | |
| 90734 | <1% | 22 | $482.90 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 199 | $363.75 |
| 90671 | <1% | 12 | $241.56 | |
| 99188 | <1% | 480 | $221.95 | |
| 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% | 231 | $198.97 |
| 83655 | <1% | 76 | $144.45 | |
| 81025 | <1% | 64 | $84.42 | |
| 85018 | <1% | 97 | $28.23 | |
| 96151 | 0% | 69 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 15 | $0.00 |
| 99024 | 0% | 33 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 12 | $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 officialMATTES, JAMES (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Grande Ronde Hospital, INC. | La Grande, OR | $543K |
| Grande Ronde Hospital, INC | Union, OR | $234K |
| Grande Ronde Hospital, INC | Elgin, OR | $46K |
| Grande Ronde Hospital, INC | Union, OR | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.