Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Legacy Good Samaritan Hospital and Medical Center

Legacy Good Samaritan Hospital and Medical Center was paid $18.33M by Medicaid between Jan 2018 and Dec 2024, across 116 billing codes. Its largest line is 99285, emergency room visit (most serious) — 36% of everything it billed.

33Billing provider infoLEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
PORTLAND, OR 97210
33aNPI1780608216assigned 07/27/2006
28Total paid$18.33M
24GClaims263,395
24DCodes billed116
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Oregon

Rank by total paid#2 of 239
Median peer was paid$283.90
This provider vs. median64,566×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official JENSEN, SARAH controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
201834,094$1.60M
201935,785$2.08M
202030,672$2.03M
202140,020$2.77M
202248,546$3.18M
202339,481$3.41M
2024incomplete34,797$3.26M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 36% 21,009 19,104 $6.54M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 25% 19,149 17,799 $4.55M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 18,429 16,946 $3.06M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5.0% 7,699 7,144 $926K
19318 3.8% 152 146 $701K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.4% 11,602 10,727 $621K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1.9% 9,315 7,898 $352K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.4% 3,131 2,992 $260K
92134 1.0% 8,879 8,011 $185K
19303 <1% 39 39 $178K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 2,890 2,407 $140K
71046 Radiologic examination, chest; 2 views <1% 2,252 2,076 $96K
104 more codes
96375 Therapeutic injection; each additional sequential IV push <1% 1,720 $71K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 14,443 $67K
71271 <1% 1,261 $63K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 645 $53K
96361 Intravenous infusion, hydration; each additional hour <1% 1,463 $52K
70450 Computed tomography, head or brain; without contrast material <1% 394 $46K
95811 <1% 77 $42K
99214 Doctor's office visit, returning patient (more involved) <1% 825 $29K
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 <1% 466 $25K
71045 Radiologic examination, chest; single view <1% 500 $22K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 19,095 $21K
67028 Intravitreal injection of a pharmacologic agent <1% 1,164 $21K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 40 $21K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 104 $21K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 663 $16K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 142 $15K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 28 $15K
92285 <1% 469 $15K
E0601 Continuous positive airway pressure (cpap) device <1% 210 $14K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 105 $11K
10061 <1% 59 $10K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 73 $9K
80053 Comprehensive metabolic panel <1% 21,817 $6K
92083 <1% 119 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 40,219 $5K
97542 <1% 229 $5K
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 <1% 40 $4K
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 <1% 322 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 495 $3K
94060 <1% 59 $3K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 95 $3K
73630 <1% 124 $3K
97165 <1% 26 $2K
80048 Basic metabolic panel (calcium, ionized) <1% 9,463 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 47 $2K
99204 Doctor's office visit, new patient (more involved) <1% 15 $1K
97161 <1% 24 $1K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 262 $1K
J3490 Unclassified drugs <1% 2,441 $1K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 736 $931.03
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 207 $869.19
84484 <1% 7,347 $856.98
94799 <1% 236 $805.00
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 157 $801.22
73610 <1% 14 $784.89
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 15 $617.85
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 38 $548.23
87070 <1% 98 $505.14
99441 <1% 98 $468.44
92133 <1% 24 $425.52
97535 Self-care/home management training, each 15 minutes <1% 88 $375.60
A4604 Tubing with integrated heating element for use with positive airway pressure device <1% 13 $351.08
84703 <1% 1,867 $335.94
81001 <1% 3,026 $307.21
36415 Collection of venous blood by venipuncture <1% 6,860 $257.73
J2704 Injection, propofol, 10 mg <1% 2,289 $231.33
87631 <1% 28 $218.56
97162 <1% 13 $206.86
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing <1% 111 $192.40
83690 <1% 3,192 $182.02
87086 Culture, bacterial; quantitative colony count, urine <1% 414 $162.02
94726 <1% 47 $160.28
83735 <1% 762 $155.61
94729 <1% 47 $119.08
93308 <1% 14 $117.87
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 1,692 $87.43
80197 <1% 223 $77.79
97116 <1% 149 $71.11
87799 <1% 19 $64.26
87205 <1% 24 $60.44
81003 <1% 947 $48.42
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,351 $41.86
93321 <1% 14 $34.12
J1170 Injection, hydromorphone, up to 4 mg <1% 569 $28.00
83880 <1% 190 $27.00
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 722 $18.64
A9270 Non-covered item or service <1% 59 $15.54
J9035 Injection, bevacizumab, 10 mg <1% 28 $14.71
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 869 $11.37
82570 <1% 15 $7.77
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,408 $7.20
80069 <1% 43 $6.94
81025 <1% 111 $6.89
84156 <1% 15 $5.50
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 100 $5.20
J0690 Injection, cefazolin sodium, 500 mg <1% 548 $4.80
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 98 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 0% 856 $0.00
87641 0% 77 $0.00
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 0% 31 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 29 $0.00
C1776 Joint device (implantable) 0% 72 $0.00
80299 0% 18 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 0% 30 $0.00
36592 0% 30 $0.00
L8699 Prosthetic implant, not otherwise specified 0% 52 $0.00
82077 0% 507 $0.00
V2632 Posterior chamber intraocular lens 0% 95 $0.00
36416 0% 54 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 43 $0.00
J7999 Compounded drug, not otherwise classified 0% 137 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 29 $0.00
92567 0% 75 $0.00
85027 0% 36 $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 officialJENSEN, SARAH (VP FINANCE)
Same official

Other billing entities under JENSEN, SARAH

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.