Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OR › BEND › BEND MEMORIAL CLINIC PC

BEND MEMORIAL CLINIC PC

NPI: 1699827477 · BEND, OR 97701 · Internal Medicine Physician · NPI assigned 01/18/2007

$11.64M
Total Medicaid Paid
284,240
Total Claims
255,576
Beneficiaries
187
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOVER, JESSIE (CREDENTIALING COORDINATOR)
NPI Enumeration Date01/18/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,905 $753K
2019 34,730 $1.26M
2020 34,042 $1.23M
2021 46,451 $1.86M
2022 45,662 $2.09M
2023 49,262 $2.21M
2024 49,188 $2.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 103,027 93,723 $5.11M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,241 30,194 $1.42M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 8,381 7,926 $991K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 600 533 $643K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,579 6,155 $557K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,621 1,477 $156K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,695 1,506 $150K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,567 1,440 $148K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,140 496 $136K
99215 Prolong outpt/office vis 1,586 1,347 $134K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 5,711 5,356 $131K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,358 3,214 $127K
99232 Subsequent hospital care, per day, moderate complexity 4,024 1,120 $114K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,464 1,375 $111K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 3,089 2,416 $96K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,383 1,275 $95K
45380 Colonoscopy, flexible; with biopsy, single or multiple 544 513 $74K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,140 1,099 $74K
93000 6,364 5,809 $66K
99205 Prolong outpt/office vis 469 442 $64K
90832 Psychotherapy, 30 minutes with patient 1,302 908 $61K
J0178 Injection, aflibercept, 1 mg 82 79 $59K
74177 Computed tomography, abdomen and pelvis; with contrast material 536 489 $59K
67028 Intravitreal injection of a pharmacologic agent 1,163 1,003 $51K
92134 2,992 2,649 $47K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 820 784 $43K
99233 Prolong inpt eval add15 m 821 381 $42K
71046 Radiologic examination, chest; 2 views 3,124 2,887 $42K
77067 Screening mammography, bilateral, including computer-aided detection 797 750 $41K
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 996 979 $40K
96415 1,633 1,463 $36K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,936 8,570 $34K
31231 237 227 $34K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 262 224 $30K
92015 Determination of refractive state 3,230 2,850 $29K
80053 Comprehensive metabolic panel 5,431 4,756 $26K
36415 Collection of venous blood by venipuncture 20,621 18,521 $25K
90686 1,248 1,205 $22K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 369 338 $22K
92557 1,162 1,060 $21K
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) 4,980 4,799 $21K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 151 149 $15K
J7999 Compounded drug, not otherwise classified 419 389 $14K
77063 Screening digital breast tomosynthesis, bilateral 769 725 $14K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 315 300 $13K
J2357 Injection, omalizumab, 5 mg 17 12 $13K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 125 125 $13K
31575 158 151 $12K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 889 874 $12K
84443 Thyroid stimulating hormone (TSH) 1,262 1,211 $11K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,392 1,277 $11K
76770 315 285 $11K
92567 1,254 1,139 $10K
76705 Ultrasound, abdominal, real time with image documentation; limited 278 261 $10K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 600 570 $9K
99223 Prolong inpt eval add15 m 108 90 $9K
71250 212 187 $9K
80061 Lipid panel 1,320 1,256 $9K
73630 618 516 $9K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 181 170 $8K
76700 Ultrasound, abdominal, real time with image documentation; complete 179 169 $8K
76830 Ultrasound, transvaginal 143 134 $7K
11102 103 98 $7K
73130 553 388 $7K
77085 340 324 $7K
92226 999 475 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 678 660 $6K
97803 172 158 $6K
73562 390 325 $6K
94060 176 158 $5K
86140 2,147 2,017 $5K
90792 Psychiatric diagnostic evaluation with medical services 41 40 $5K
73610 399 349 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 319 305 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 231 212 $5K
78830 22 18 $5K
83036 Hemoglobin; glycosylated (A1C) 1,251 1,197 $5K
73110 291 250 $5K
95251 243 227 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 121 109 $4K
51798 509 455 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 47 42 $4K
95800 25 24 $4K
94729 123 107 $4K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 179 152 $4K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 147 136 $4K
94726 122 107 $3K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 35 35 $3K
74178 25 24 $3K
74176 Computed tomography, abdomen and pelvis; without contrast material 61 54 $3K
90961 123 106 $3K
81002 1,903 1,729 $3K
0071A 76 75 $3K
99239 Hospital discharge day management, more than 30 minutes 48 43 $3K
80076 664 632 $2K
11721 143 114 $2K
90834 Psychotherapy, 45 minutes with patient 34 24 $2K
90791 Psychiatric diagnostic evaluation 36 30 $2K
94010 100 95 $2K
17000 66 64 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material 47 44 $2K
82565 862 819 $2K
84439 390 378 $2K
73030 170 146 $2K
73140 121 103 $2K
97802 13 13 $2K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 35 33 $2K
0072A 48 48 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 64 56 $2K
85652 1,304 1,205 $2K
80069 575 506 $2K
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 29 27 $2K
80050 General health panel 47 45 $1K
0001A 149 124 $1K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 15 14 $1K
77080 82 79 $1K
99152 128 128 $1K
20610 30 29 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $1K
51705 50 43 $1K
D0191 92 92 $1K
74018 76 73 $1K
92202 250 189 $1K
99222 Initial hospital care, per day, moderate complexity 14 12 $1K
99292 20 13 $1K
96160 350 332 $1K
90656 55 54 $963.45
81015 685 638 $914.43
95115 130 73 $896.10
82728 124 118 $867.82
82607 102 95 $827.52
0002A 66 52 $812.80
84466 124 118 $812.09
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) 13 13 $789.97
96127 122 118 $710.98
A9585 Injection, gadobutrol, 0.1 ml 73 49 $666.79
93248 37 36 $642.48
52000 12 12 $612.20
99201 17 17 $589.56
92133 27 26 $528.32
81003 422 397 $526.67
92083 12 12 $471.39
81001 276 260 $445.33
83540 124 118 $411.99
83970 26 25 $397.60
92340 Fitting of spectacles, except for aphakia; monofocal 13 13 $367.56
82043 166 161 $360.02
72100 32 26 $358.02
76642 12 12 $334.62
82570 166 161 $322.62
99173 109 105 $277.16
J1030 Injection, methylprednisolone acetate, 40 mg 75 70 $246.34
93246 24 24 $241.02
A4550 Surgical trays 376 355 $235.27
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 26 13 $206.42
90785 12 12 $171.01
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 12 $162.18
73590 15 12 $155.10
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 43 41 $154.48
72040 16 12 $140.56
0296T 14 13 $135.09
85027 32 32 $134.94
0298T 14 12 $134.64
92285 13 12 $124.12
J1010 Injection, methylprednisolone acetate, 1 mg 44 43 $123.21
99406 14 13 $122.79
99153 Mod sedat endo service >5yrs 14 13 $120.48
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 26 25 $109.30
99000 41 40 $108.90
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 27 18 $73.03
17003 13 12 $69.43
0011A 56 41 $62.32
81025 12 12 $61.05
83690 16 14 $44.42
G0008 Administration of influenza virus vaccine 30 28 $8.70
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 240 229 $6.44
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12 12 $4.11
90662 15 12 $1.77
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 59 51 $1.48
91307 167 167 $0.01
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 3,098 2,935 $0.00
91300 224 182 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 27 26 $0.00
91301 56 41 $0.00
D0603 60 60 $0.00
J7609 Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg 13 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14 12 $0.00