Medicaid Provider Spending

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

LEGACY EMANUEL HOSPITAL & HEALTH CENTER

NPI: 1831112358 · PORTLAND, OR 97227 · Physical Therapy Clinic/Center · NPI assigned 07/25/2006

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

Authorized official JENSEN, SARAH controls 20+ related entities in our dataset. Read more

$64.24M
Total Medicaid Paid
677,162
Total Claims
587,710
Beneficiaries
183
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJENSEN, SARAH (VP FINANCE)
NPI Enumeration Date07/25/2006

Related Entities

Other providers sharing the same authorized official: JENSEN, SARAH

ProviderCityStateTotal Paid
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $50.80M
LEGACY CLINICS LLC PORTLAND OR $48.79M
LEGACY SALMON CREEK HOSPITAL VANCOUVER WA $48.76M
LEGACY MOUNT HOOD MEDICAL CENTER GRESHAM OR $43.16M
SILVERTON HEALTH SILVERTON OR $29.18M
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND OR $18.33M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $17.03M
LEGACY MERIDIAN PARK HOSPITAL TUALATIN OR $13.28M
LEGACY SALMON CREEK HOSPITAL VANCOUVER WA $9.93M
SILVERTON HEALTH SILVERTON OR $9.72M
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND OR $3.90M
LEGACY MERIDIAN PARK HOSPITAL TUALATIN OR $2.38M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER SAINT HELENS OR $1.78M
SILVERTON HEALTH SILVERTON OR $1.62M
LEGACY EMANUEL HOSPITAL & HEALTH CENTER PORTLAND OR $1.48M
SILVERTON HEALTH MOUNT ANGEL OR $1.18M
LEGACY CLINICS LLC SANDY OR $654K
LEGACY EMANUEL HOSPITAL & HEALTH CENTER SAINT HELENS OR $64K
REGIONAL DERMATOLOGY, LLC FESTUS MO $38K
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND OR $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 104,452 $8.61M
2019 94,060 $8.34M
2020 74,837 $6.96M
2021 84,423 $7.74M
2022 111,725 $10.52M
2023 111,053 $11.38M
2024 96,612 $10.70M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 102,910 96,224 $18.81M
99284 Emergency department visit for the evaluation and management, high severity 63,821 59,419 $16.18M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 47,137 43,288 $15.83M
99282 Emergency department visit for the evaluation and management, low to moderate severity 14,620 13,870 $1.69M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 15,338 14,265 $1.63M
97530 Therapeutic activities, direct patient contact, each 15 minutes 19,063 9,514 $1.62M
96361 Intravenous infusion, hydration; each additional hour 7,099 5,663 $1.32M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 15,392 7,555 $906K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 19,001 11,922 $841K
70450 Computed tomography, head or brain; without contrast material 3,801 3,457 $552K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 7,606 6,453 $458K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 4,071 3,940 $418K
92587 2,142 2,086 $395K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,942 1,714 $349K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,046 1,778 $297K
92523 1,390 1,344 $240K
71045 Radiologic examination, chest; single view 4,521 4,183 $174K
71046 Radiologic examination, chest; 2 views 5,553 5,229 $170K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,643 1,485 $151K
G0378 Hospital observation service, per hour 3,799 2,326 $149K
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 2,083 2,021 $140K
97597 1,661 1,083 $121K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,073 1,014 $114K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 23,345 17,196 $112K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 328 225 $97K
96375 Therapeutic injection; each additional sequential IV push 5,187 4,379 $91K
92609 1,062 543 $77K
97166 933 833 $69K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,233 3,790 $67K
97161 867 839 $65K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 159 158 $63K
92567 3,107 3,034 $60K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2,701 2,598 $59K
80053 Comprehensive metabolic panel 52,817 47,765 $53K
97802 842 745 $51K
41899 Unlisted procedure, dentoalveolar structures 189 185 $50K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 30,775 27,895 $46K
76770 433 418 $46K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 256 168 $46K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 526 509 $40K
92610 603 528 $39K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 361 351 $39K
S9480 Intensive outpatient psychiatric services, per diem 41 13 $39K
29581 378 181 $35K
74177 Computed tomography, abdomen and pelvis; with contrast material 226 216 $34K
S9981 Medical records copying fee, administrative 1,816 1,537 $31K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 52 50 $31K
97162 339 337 $24K
92579 400 393 $20K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 171 171 $19K
D1120 Prophylaxis - child 53 53 $16K
97803 225 220 $14K
54640 13 13 $13K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 68,557 61,999 $13K
74018 1,013 956 $13K
D1206 Topical application of fluoride varnish 92 89 $12K
D0220 Intraoral - periapical first radiographic image 38 38 $12K
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 1,511 1,473 $11K
80048 Basic metabolic panel (calcium, ionized) 7,036 6,422 $11K
70551 Magnetic resonance imaging, brain; without contrast material 39 36 $11K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,273 1,088 $11K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 102 100 $10K
87631 1,189 1,139 $9K
90686 393 391 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 26 25 $7K
29580 169 78 $7K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 114 112 $6K
95951 17 12 $5K
92582 73 73 $5K
92555 120 117 $5K
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 1,360 1,018 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 43 43 $5K
G0379 Direct admission of patient for hospital observation care 199 192 $4K
84484 10,499 9,281 $4K
92526 73 53 $4K
S9982 Medical records copying fee, per page 1,555 1,356 $4K
D0230 Intraoral - periapical each additional radiographic image 27 27 $4K
D2930 Prefabricated stainless steel crown - primary tooth 25 25 $4K
84703 8,453 7,709 $3K
96376 1,169 820 $3K
J2704 Injection, propofol, 10 mg 8,209 5,852 $3K
93308 153 130 $3K
92083 60 56 $3K
87040 413 383 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 736 480 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor 50 44 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 208 142 $2K
92551 162 162 $2K
99215 Prolong outpt/office vis 12 12 $2K
D9420 14 14 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $1K
81001 4,384 4,154 $1K
36592 27 27 $1K
92586 12 12 $1K
36415 Collection of venous blood by venipuncture 11,167 10,083 $1K
83690 4,880 4,537 $1K
87086 Culture, bacterial; quantitative colony count, urine 1,055 1,016 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 6,783 5,861 $951.77
J1100 Injection, dexamethasone sodium phosphate, 1 mg 6,852 6,002 $780.57
J3490 Unclassified drugs 239 195 $769.16
97165 12 12 $733.23
90670 32 32 $702.72
97763 22 13 $700.59
82803 115 106 $689.21
86140 2,223 2,057 $681.08
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 29 25 $672.43
J0690 Injection, cefazolin sodium, 500 mg 1,709 1,414 $662.77
81003 4,389 4,162 $651.87
83735 1,330 1,145 $624.53
82077 1,011 935 $615.67
93321 151 126 $610.02
93976 14 13 $603.98
90723 27 27 $592.92
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,247 2,698 $583.28
J0696 Injection, ceftriaxone sodium, per 250 mg 259 220 $578.63
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 13 12 $548.43
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 13 12 $491.27
J2270 Injection, morphine sulfate, up to 10 mg 626 527 $481.30
85610 1,287 1,107 $446.27
97116 16 12 $408.11
J3010 Injection, fentanyl citrate, 0.1 mg 3,984 3,626 $396.10
95816 16 12 $391.82
99173 132 132 $387.76
86850 713 645 $340.58
94060 13 13 $328.75
J1170 Injection, hydromorphone, up to 4 mg 980 824 $322.26
85027 1,021 767 $309.69
90647 14 14 $307.44
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) 24 24 $301.60
J1885 Injection, ketorolac tromethamine, per 15 mg 5,120 4,524 $297.64
86900 756 685 $286.08
72020 14 13 $281.56
J2795 Injection, ropivacaine hydrochloride, 1 mg 1,334 1,302 $274.01
82728 286 260 $239.92
J2250 Injection, midazolam hydrochloride, per 1 mg 2,356 2,066 $239.89
72125 Computed tomography, cervical spine; without contrast material 145 129 $230.26
A9270 Non-covered item or service 1,952 1,091 $225.18
J3480 Injection, potassium chloride, per 2 meq 776 460 $216.00
99451 14 13 $200.00
D0191 15 15 $195.15
86901 756 685 $166.63
85652 891 833 $147.61
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13 12 $124.41
D0272 Bitewings - two radiographic images 27 24 $112.40
A9577 Injection, gadobenate dimeglumine (multihance), per ml 890 680 $94.41
88305 Level IV - Surgical pathology, gross and microscopic examination 502 489 $89.15
96127 14 14 $77.70
80299 95 84 $52.00
84443 Thyroid stimulating hormone (TSH) 26 25 $49.10
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 215 191 $46.15
96160 12 12 $39.96
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 479 458 $26.05
80076 13 13 $24.00
87077 130 127 $23.65
0004A 22 12 $21.90
85018 12 12 $19.92
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 137 132 $13.42
J7050 Infusion, normal saline solution, 250 cc 634 336 $8.00
83550 58 55 $6.11
87081 213 207 $5.64
83540 58 55 $4.90
87186 69 67 $4.36
36416 408 380 $3.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 65 44 $1.16
C1889 Implantable/insertable device, not otherwise classified 192 189 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 204 98 $0.00
88304 14 14 $0.00
L8699 Prosthetic implant, not otherwise specified 98 97 $0.00
88300 103 100 $0.00
J2060 Injection, lorazepam, 2 mg 65 54 $0.00
A6456 Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 350 163 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 26 25 $0.00
D0240 15 12 $0.00
A6196 Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing 1,758 1,130 $0.00
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 218 156 $0.00
J0735 Injection, clonidine hydrochloride, 1 mg 156 155 $0.00
51701 40 36 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 111 108 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 45 44 $0.00
94799 12 12 $0.00
92133 41 38 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 29 27 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 13 13 $0.00