Medicaid Provider Spending

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

GOOD SAMARITAN HOSPITAL CORVALLIS

NPI: 1821671520 · CORVALLIS, OR 97330 · Family Medicine Physician · NPI assigned 04/30/2021

$618K
Total Medicaid Paid
7,801
Total Claims
7,196
Beneficiaries
17
Codes Billed
2021-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVANDERFORD, MARY ANN (CREDENTIALING MANAGER)
Parent OrganizationGOOD SAMARITAN HOSPITAL CORVALLIS
NPI Enumeration Date04/30/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 939 $55K
2022 2,163 $167K
2023 2,037 $182K
2024 2,662 $213K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,415 4,069 $461K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,670 1,529 $127K
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) 697 614 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 426 418 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 30 29 $5K
90686 339 326 $4K
0054A 29 24 $688.38
90715 13 13 $401.96
0124A 12 12 $381.40
99421 17 17 $241.11
90656 13 12 $209.80
36415 Collection of venous blood by venipuncture 27 27 $150.00
D0191 21 21 $148.50
96127 13 12 $101.99
91305 29 24 $0.02
91300 38 37 $0.00
91312 12 12 $0.00