Medicaid Provider Spending

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

LEGACY EMANUEL HOSPITAL & HEALTH CENTER

NPI: 1700809027 · PORTLAND, OR 97227 · Pediatric Hematology & Oncology Physician · NPI assigned 07/26/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JENSEN, SARAH controls 20+ related entities in our dataset. Read more

$17.03M
Total Medicaid Paid
286,482
Total Claims
256,157
Beneficiaries
134
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJENSEN, SARAH (VP FINANCE)
Parent OrganizationLEGACY EMANUEL HOSPITAL & HEALTH CENTER
NPI Enumeration Date07/26/2006

Related Entities

Other providers sharing the same authorized official: JENSEN, SARAH

ProviderCityStateTotal Paid
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $64.24M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $50.80M
LEGACY CLINICS LLC PORTLAND OR $48.79M
LEGACY SALMON CREEK HOSPITAL VANCOUVER WA $48.76M
LEGACY MOUNT HOOD MEDICAL CENTER GRESHAM OR $43.16M
SILVERTON HEALTH SILVERTON OR $29.18M
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND OR $18.33M
LEGACY MERIDIAN PARK HOSPITAL TUALATIN OR $13.28M
LEGACY SALMON CREEK HOSPITAL VANCOUVER WA $9.93M
SILVERTON HEALTH SILVERTON OR $9.72M
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND OR $3.90M
LEGACY MERIDIAN PARK HOSPITAL TUALATIN OR $2.38M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER SAINT HELENS OR $1.78M
SILVERTON HEALTH SILVERTON OR $1.62M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $1.48M
SILVERTON HEALTH MOUNT ANGEL OR $1.18M
LEGACY CLINICS LLC SANDY OR $654K
LEGACY EMANUEL HOSPITAL & HEALTH CENTER SAINT HELENS OR $64K
REGIONAL DERMATOLOGY, LLC FESTUS MO $38K
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND OR $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 40,318 $2.24M
2019 45,559 $2.48M
2020 32,014 $1.61M
2021 37,092 $2.07M
2022 43,302 $2.78M
2023 43,921 $3.09M
2024 44,276 $2.77M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 69,542 64,551 $6.12M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 49,840 46,244 $3.20M
99215 Prolong outpt/office vis 8,289 7,770 $1.15M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,103 6,471 $696K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,532 5,437 $612K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,278 6,056 $588K
99205 Prolong outpt/office vis 2,803 2,520 $514K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,754 2,666 $379K
99233 Prolong inpt eval add15 m 5,327 2,422 $371K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,892 2,856 $314K
99232 Subsequent hospital care, per day, moderate complexity 5,516 2,862 $297K
99284 Emergency department visit for the evaluation and management, high severity 14,742 13,507 $296K
99239 Hospital discharge day management, more than 30 minutes 3,115 3,035 $282K
90832 Psychotherapy, 30 minutes with patient 2,629 1,364 $160K
90686 7,329 7,193 $149K
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) 9,739 9,271 $110K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,513 3,211 $101K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 271 105 $97K
92551 7,445 7,265 $90K
99283 Emergency department visit for the evaluation and management, moderate severity 8,776 7,710 $79K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,197 1,098 $78K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 389 223 $73K
99238 Hospital discharge day management, 30 minutes or less 1,074 1,046 $68K
90670 3,189 3,119 $68K
99231 Subsequent hospital care, per day, straightforward or low complexity 7,583 2,135 $67K
99460 651 631 $56K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 446 435 $53K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 681 598 $53K
90723 2,404 2,361 $51K
99222 Initial hospital care, per day, moderate complexity 461 452 $50K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 689 671 $44K
90647 2,107 2,061 $44K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,018 2,961 $44K
83036 Hemoglobin; glycosylated (A1C) 5,206 5,165 $43K
90792 Psychiatric diagnostic evaluation with medical services 3,439 3,171 $43K
99223 Prolong inpt eval add15 m 276 268 $42K
95251 1,436 1,417 $40K
99417 Prolong home eval add 15m 488 437 $32K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 923 893 $30K
99358 Prolong nursin fac eval 15m 501 481 $29K
96112 224 199 $19K
99173 5,524 5,328 $17K
96158 384 239 $16K
95810 Polysomnography; sleep staging with 4 or more additional parameters 151 148 $16K
97803 136 128 $15K
94010 462 446 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 701 690 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,240 616 $14K
90791 Psychiatric diagnostic evaluation 246 223 $13K
90677 592 586 $13K
91321 280 279 $13K
D1206 Topical application of fluoride varnish 938 922 $13K
99442 433 377 $13K
90681 590 578 $13K
0071A 327 314 $12K
99443 311 248 $12K
99401 391 310 $11K
97802 66 66 $10K
90633 456 448 $9K
95782 39 39 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 814 786 $8K
0072A 214 211 $8K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 67 66 $8K
96127 1,599 1,549 $8K
96160 2,651 2,586 $8K
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) 150 140 $8K
36415 Collection of venous blood by venipuncture 2,271 2,166 $8K
90661 349 347 $7K
96167 101 66 $6K
96152 69 38 $5K
44970 12 12 $5K
91322 67 67 $5K
90480 131 131 $4K
90834 Psychotherapy, 45 minutes with patient 29 29 $4K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 85 76 $4K
D0191 287 285 $4K
99221 47 47 $3K
90651 124 124 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 100 89 $3K
0001A 64 62 $2K
92015 Determination of refractive state 273 259 $2K
0124A 82 82 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 27 26 $2K
0002A 52 48 $2K
90685 100 100 $2K
87428 90 88 $2K
0111A 40 40 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 91 78 $2K
99292 14 13 $1K
99282 Emergency department visit for the evaluation and management, low to moderate severity 155 146 $1K
99441 30 30 $1K
99462 34 27 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 184 148 $1K
96159 75 43 $1K
0004A 31 31 $1K
99354 34 31 $1K
96111 12 12 $1K
90674 43 42 $1K
90707 52 52 $1K
0083A 31 29 $1K
83655 126 125 $1K
96156 13 13 $949.46
99451 25 25 $807.90
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12 12 $795.78
81003 446 429 $732.90
90716 26 26 $570.96
90734 26 26 $570.96
0154A 14 14 $560.00
0112A 14 14 $554.41
99177 103 97 $492.39
98968 34 12 $492.02
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 17 12 $458.24
87807 52 50 $431.98
99607 26 25 $399.90
90697 18 18 $395.28
85018 221 218 $387.22
92083 32 27 $350.56
92133 30 26 $281.84
90460 Immunization administration through 18 years of age via any route, first or only component 38 37 $274.40
99606 15 15 $270.09
90656 13 13 $265.62
90381 13 12 $263.52
90710 12 12 $263.52
92250 13 13 $262.26
96161 83 76 $257.81
82247 78 75 $246.36
92567 14 14 $243.02
88720 81 77 $210.60
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $178.28
84703 15 14 $52.96
36416 25 25 $48.69
G0008 Administration of influenza virus vaccine 28 27 $19.23
99174 14 14 $0.00
99051 28 27 $0.00