ST Anthony Hospital

ST Anthony Hospital was paid $219K by Medicaid between Jan 2018 and Nov 2020, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.

33Billing provider infoST ANTHONY HOSPITAL
PENDLETON, OR 97801

33aNPI1689954836assigned 08/19/2011

33bProvider typeInternal Medicine Physician

28Total paid$219K

24GClaims12,378

24DCodes billed25

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Internal Medicine Physician providers in Oregon

Rank by total paid#23 of 96

Median peer was paid$14K

This provider vs. median16×

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	4,632	$118K
2019	5,330	$77K
2020	2,416	$24K

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	74%	5,093	4,841	$162K
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	14%	1,452	1,392	$30K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	8.2%	212	212	$18K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	324	287	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	270	263	$1K
90674		<1%	53	53	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	94	72	$871.42
90656		<1%	62	60	$816.30
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	$768.00
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	12	12	$719.36
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	24	24	$601.30
90686		<1%	29	29	$515.91

13 more codes

87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	45	$406.85
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	42	$214.00
81003		<1%	57	$76.14
81025		<1%	12	$12.06
1111F		<1%	2,198	$0.13
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	1,496	$0.06
1036F		0%	288	$0.00
99000		0%	57	$0.00
G9717	Documentation stating the patient has had a diagnosis of bipolar disorder	0%	81	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	97	$0.00
G9691	Patient had hospice services any time during the measurement period	0%	24	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	309	$0.00
G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	0%	17	$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 officialSCHLENKAR, JIM (CHIEF FINANCIAL OFFICER)