Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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South Salem Immediate Care INC.

South Salem Immediate Care INC. was paid $550K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 30% of everything it billed.

33Billing provider infoSOUTH SALEM IMMEDIATE CARE INC.
SALEM, OR 97302
33aNPI1871648402assigned 01/24/2007
33bProvider typeLegal Medicine
28Total paid$550K
24GClaims9,121
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
20181,923$102K
20191,498$75K
2020786$37K
2021919$61K
20221,467$101K
20231,591$107K
2024incomplete937$67K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 30% 2,158 2,115 $165K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 23% 1,121 1,092 $128K
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 15% 997 948 $82K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 1,209 1,129 $70K
99205 Prolong outpt/office vis 9.5% 346 339 $52K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.9% 132 131 $16K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2.5% 223 217 $14K
93000 1.2% 575 563 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 496 481 $5K
81000 <1% 1,367 1,324 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 61 60 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 99 99 $3K
5 more codes
86580 <1% 112 $642.42
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 30 $569.22
36415 Collection of venous blood by venipuncture <1% 102 $215.85
94760 <1% 28 $49.85
99072 <1% 65 $15.00

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 officialMADDY, RACHEL (PRESIDENT/OWNER)