Behavioral
ST. Charles Health System, INC.
ST. Charles Health System, INC. was paid $1.38M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 90832, psychotherapy session, about 30 minutes — 31% of everything it billed.
33Billing provider infoST. CHARLES HEALTH SYSTEM, INC.
BEND, OR 97701
BEND, OR 97701
33aNPI1780698696assigned 07/28/2006
33bProvider typeProfessional Counselor
28Total paid$1.38M
24GClaims25,525
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Professional Counselor providers in Oregon
Rank by total paid#7 of 188
Median peer was paid$77K
This provider vs. median18×
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 | |
|---|---|---|---|
| 2018 | 2,983 | $163K | |
| 2019 | 3,888 | $207K | |
| 2020 | 3,952 | $213K | |
| 2021 | 3,728 | $186K | |
| 2022 | 3,246 | $160K | |
| 2023 | 3,907 | $226K | |
| 2024incomplete | 3,821 | $226K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 31% | 7,737 | 5,496 | $428K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 20% | 3,223 | 2,995 | $273K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 15% | 7,573 | 2,416 | $214K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 11% | 1,586 | 841 | $149K |
| 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 | 9.1% | 2,295 | 2,069 | $125K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 7.7% | 802 | 742 | $106K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.9% | 313 | 222 | $26K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.2% | 192 | 182 | $16K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 218 | 204 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 287 | 266 | $10K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 644 | 159 | $8K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 75 | 57 | $4K |
8 more codes
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 61 | $3K |
| 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) | <1% | 193 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 63 | $2K |
| 96156 | <1% | 17 | $975.80 | |
| 96127 | <1% | 202 | $365.04 | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 12 | $313.65 |
| T1016 | Case management, each 15 minutes | <1% | 16 | $295.04 |
| 96150 | <1% | 16 | $226.70 |
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 officialSWAFFORD, MATTHEW (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| ST. Charles Health System, INC. | Bend, OR | $8.55M |
| ST. Charles Health System, INC. | Madras, OR | $4.96M |
| ST. Charles Health System, INC. | Prineville, OR | $1.37M |
| ST. Charles Health System, INC. | Bend, OR | $539K |
| ST. Charles Health System, INC. | Prineville, OR | $291K |
| ST. Charles Health System, INC. | Bend, OR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.