Medicaid Provider Spending

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

GRANDE RONDE HOSPITAL, INC

NPI: 1689061491 · LA GRANDE, OR 97850 · Rural Health Clinic/Center · NPI assigned 04/20/2015

$822K
Total Medicaid Paid
40,980
Total Claims
36,506
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMATTES, JAMES (PRESIDENT/CEO)
NPI Enumeration Date04/20/2015

Related Entities

Other providers sharing the same authorized official: MATTES, JAMES

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 4,432 $58K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,055 15,963 $371K
90834 Psychotherapy, 45 minutes with patient 2,298 1,274 $92K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,190 2,026 $73K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,845 2,720 $65K
90686 2,043 2,038 $43K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,248 2,220 $39K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,215 2,443 $25K
90837 Psychotherapy, 53 minutes with patient 2,061 1,430 $24K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,221 1,200 $19K
90670 732 721 $15K
98968 430 291 $12K
96152 733 495 $6K
96127 1,264 1,174 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 218 214 $3K
90698 175 170 $3K
90791 Psychiatric diagnostic evaluation 95 93 $3K
90723 120 119 $2K
90680 113 112 $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 28 28 $2K
90647 107 103 $2K
0072A 30 30 $2K
90656 79 79 $2K
90685 76 76 $2K
90697 44 44 $965.80
0071A 23 16 $920.00
90633 38 38 $768.38
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 54 40 $743.31
96150 59 58 $663.68
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 25 25 $614.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 25 25 $614.00
90677 26 26 $570.96
90734 22 12 $482.90
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 199 174 $363.75
90671 12 12 $241.56
99188 480 478 $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) 231 213 $198.97
83655 76 69 $144.45
81025 64 64 $84.42
85018 97 90 $28.23
96151 69 50 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 15 $0.00
99024 33 26 $0.00
99215 Prolong outpt/office vis 12 12 $0.00