Physician
Gresham Family Care INC
Gresham Family Care INC was paid $655K by Medicaid between Apr 2020 and Nov 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoGRESHAM FAMILY CARE INC
WEST LINN, OR 97068
WEST LINN, OR 97068
33aNPI1710510094assigned 02/14/2020
33bProvider typeFamily Medicine Physician
28Total paid$655K
24GClaims11,996
24DCodes billed12
24AFirst – last monthApr 2020 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Oregon
Rank by total paid#32 of 208
Median peer was paid$49K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2020 | 1,556 | $100K | |
| 2021 | 3,000 | $164K | |
| 2022 | 2,760 | $145K | |
| 2023 | 1,942 | $129K | |
| 2024incomplete | 2,738 | $118K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 73% | 5,645 | 4,612 | $476K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.2% | 423 | 365 | $60K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.0% | 926 | 758 | $59K |
| 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) | 2.7% | 1,472 | 1,255 | $18K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.7% | 138 | 79 | $18K |
| 99072 | 1.8% | 2,774 | 2,082 | $12K | |
| 20550 | 1.7% | 241 | 129 | $11K | |
| 99406 | <1% | 192 | 173 | $2K | |
| 99417 | Prolong home eval add 15m | <1% | 14 | 12 | $445.05 |
| 36415 | Collection of venous blood by venipuncture | <1% | 69 | 65 | $114.19 |
| 82947 | <1% | 51 | 40 | $94.25 | |
| J3490 | Unclassified drugs | <1% | 51 | 40 | $16.60 |
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 officialHAINES, KEITH (OWNER)