Clinic
Virginia Garcia Memorial Health Center
Virginia Garcia Memorial Health Center was paid $26K by Medicaid between Jan 2018 and Oct 2019, across 5 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 45% of everything it billed.
33Billing provider infoVIRGINIA GARCIA MEMORIAL HEALTH CENTER
TUALATIN, OR 97062
TUALATIN, OR 97062
33aNPI1689064156assigned 02/04/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$26K
24GClaims639
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Oregon
Rank by total paid#64 of 90
Median peer was paid$254K
This provider vs. median0.1×
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 | 425 | $16K | |
| 2019 | 214 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 45% | 425 | 201 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 170 | 138 | $12K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 5.8% | 16 | 16 | $2K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.4% | 15 | 12 | $1K |
| 96160 | <1% | 13 | 12 | $41.99 |
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 officialLOREDO, MARIA (COO)