Medicaid Provider Spending

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

UNIVERSITY PROFESSIONAL SERVICES

NPI: 1750753687 · PORTLAND, OR 97201 · Adult Mental Health Clinic/Center · NPI assigned 10/30/2015

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

Authorized official SMITH, KELLY controls 20+ related entities in our dataset. Read more

$56K
Total Medicaid Paid
35,611
Total Claims
28,571
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSMITH, KELLY (VP/ENTERPRISE REVENUE CYCLE)
Parent OrganizationUNIVERSITY PROFESSIONAL SERVICES
NPI Enumeration Date10/30/2015

Related Entities

Other providers sharing the same authorized official: SMITH, KELLY

ProviderCityStateTotal Paid
UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR $55.69M
OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND OR $9.71M
UNIVERSITY PROFESSIONAL SERVICES BEAVERTON OR $8.13M
OREGON HEALTH & SCIENCE UNIVERSITY SCAPPOOSE OR $4.56M
UNIVERSITY PROFESSIONAL SERVICES SPRINGFIELD OR $987K
INDEPENDENT SCHOOL DISTRICT NO 716 BELLE PLAINE MN $819K
PEDRAM RASHTI, MD, INC SANTA BARBARA CA $779K
A PLACE 4 ME, LLC CHARLOTTE NC $759K
UNIVERSITY ANESTHESIOLOGY ASSOCIATES, LLC PORTLAND OR $651K
UNIVERSITY PROFESSIONAL SERVICES VANCOUVER WA $480K
OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND OR $404K
UNIVERSITY PROFESSIONAL SERVICES LONGVIEW WA $310K
OREGON HEALTH SCIENCES UNIVERSITY DEPARTMENT OF OPHTHALMOLOGY PORTLAND OR $271K
UNIVERSITY PROFESSIONAL SERVICES BEND OR $95K
UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR $64K
UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR $62K
OHSU OUTPATIENT CLINICAL SERVICES LLC BEAVERTON OR $61K
OREGON HEALTH & SCIENCE UNIVERSITY BEAVERTON OR $46K
OREGON HEALTH SCIENCES UNIVERSITY DEPARTMENT OF OPHTHALMOLOGY PORTLAND OR $40K
UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR $22K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,529 $16K
2019 6,649 $11K
2020 5,489 $13K
2021 3,214 $9K
2022 3,420 $2K
2023 5,448 $4K
2024 4,862 $955.10

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,335 5,857 $31K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,591 5,066 $12K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 2,798 2,525 $4K
99442 539 311 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 752 649 $1K
H0032 Mental health service plan development by non-physician 1,439 1,428 $1K
99443 437 292 $1K
H0031 Mental health assessment, by non-physician 1,018 1,010 $1K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 164 162 $691.87
T1016 Case management, each 15 minutes 5,243 4,144 $679.58
90791 Psychiatric diagnostic evaluation 37 29 $326.87
90853 Group psychotherapy (other than of a multiple-family group) 3,179 1,404 $261.79
G0177 Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) 88 36 $169.47
H2014 Skills training and development, per 15 minutes 1,400 959 $126.60
H0034 Medication training and support, per 15 minutes 486 456 $34.44
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) 119 114 $24.60
90899 2,011 1,853 $0.00
H0004 Behavioral health counseling and therapy, per 15 minutes 2,945 2,250 $0.00
98968 16 13 $0.00
90846 Family psychotherapy without the patient present, 50 minutes 14 13 $0.00