Virginia Garcia Memorial Health Center
Virginia Garcia Memorial Health Center was paid $1.97M by Medicaid between Jan 2018 and Dec 2024, across 121 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
BEAVERTON, OR 97005
Next to other Federally Qualified Health Center (FQHC) providers in Oregon
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 20,728 | $312K | |
| 2019 | 29,095 | $626K | |
| 2020 | 15,173 | $139K | |
| 2021 | 20,424 | $274K | |
| 2022 | 17,000 | $206K | |
| 2023 | 16,346 | $209K | |
| 2024incomplete | 47,867 | $200K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 32,202 | 28,770 | $400K |
| 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 | 19% | 23,611 | 20,429 | $364K |
| 90686 | 9.1% | 9,658 | 9,537 | $179K | |
| 99442 | 4.9% | 15,030 | 14,285 | $97K | |
| 99443 | 2.7% | 3,623 | 3,438 | $54K | |
| 96156 | 2.6% | 1,208 | 1,169 | $51K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.4% | 266 | 233 | $48K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.4% | 425 | 399 | $46K |
| 0011A | 2.1% | 1,150 | 1,144 | $41K | |
| 0012A | 2.0% | 1,138 | 1,132 | $40K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 598 | 596 | $36K |
| 96150 | 1.7% | 1,731 | 1,603 | $33K |
109 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 5,262 | $29K |
| 90834 | Psychotherapy session, about 45 minutes | 1.3% | 308 | $26K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 1,517 | $24K |
| 91320 | 1.2% | 302 | $23K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 1,332 | $22K |
| 90651 | 1.1% | 725 | $21K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,350 | $19K |
| D1206 | Topical application of fluoride varnish | <1% | 864 | $18K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 629 | $17K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 340 | $17K |
| 0002A | <1% | 429 | $17K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,894 | $16K |
| 0064A | <1% | 476 | $16K | |
| 99441 | <1% | 4,050 | $16K | |
| 90670 | <1% | 555 | $15K | |
| D1120 | Dental cleaning, child | <1% | 327 | $15K |
| 90837 | Psychotherapy session, about an hour | <1% | 187 | $15K |
| 0001A | <1% | 364 | $13K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 157 | $13K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 145 | $12K |
| 0072A | <1% | 284 | $11K | |
| 96152 | <1% | 547 | $10K | |
| 0071A | <1% | 250 | $9K | |
| 90674 | <1% | 795 | $9K | |
| 96158 | <1% | 187 | $8K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,837 | $8K |
| 96160 | <1% | 2,820 | $8K | |
| 0124A | <1% | 228 | $8K | |
| 90723 | <1% | 312 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,119 | $7K |
| 90647 | <1% | 302 | $7K | |
| D1110 | Prophylaxis - adult | <1% | 99 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 109 | $6K |
| 90734 | <1% | 269 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 664 | $6K |
| 90633 | <1% | 262 | $6K | |
| 97802 | <1% | 165 | $5K | |
| 90480 | <1% | 432 | $5K | |
| 0054A | <1% | 138 | $5K | |
| 90715 | <1% | 185 | $5K | |
| 90671 | <1% | 85 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 130 | $5K |
| 0004A | <1% | 104 | $4K | |
| 90746 | <1% | 102 | $4K | |
| D1351 | Sealant - per tooth | <1% | 130 | $4K |
| D0120 | Dental checkup, returning patient | <1% | 97 | $4K |
| 98968 | <1% | 92 | $3K | |
| 90680 | <1% | 122 | $3K | |
| 90619 | <1% | 131 | $3K | |
| 92551 | <1% | 272 | $3K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 188 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 289 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 128 | $2K |
| 97810 | <1% | 98 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 126 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 32 | $2K |
| 99383 | <1% | 32 | $2K | |
| 99385 | <1% | 30 | $2K | |
| 99401 | <1% | 157 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 409 | $2K |
| 90656 | <1% | 84 | $1K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 19 | $1K |
| G0467 | Community health center visit, returning patient | <1% | 2,086 | $1K |
| 96154 | <1% | 59 | $998.54 | |
| D0240 | <1% | 123 | $885.60 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 132 | $839.35 |
| 80061 | Lipid panel | <1% | 134 | $615.76 |
| 97803 | <1% | 25 | $608.19 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $467.87 |
| 98967 | <1% | 19 | $462.91 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 26 | $429.56 |
| 99173 | <1% | 208 | $378.81 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 28 | $337.04 |
| 99402 | <1% | 19 | $327.00 | |
| 90716 | <1% | 15 | $307.44 | |
| 99607 | <1% | 28 | $279.93 | |
| 90710 | <1% | 12 | $232.76 | |
| 80305 | <1% | 29 | $211.68 | |
| 82044 | <1% | 56 | $195.17 | |
| 85018 | <1% | 99 | $189.83 | |
| 81002 | <1% | 239 | $149.41 | |
| 81025 | <1% | 47 | $93.87 | |
| 81003 | <1% | 122 | $38.49 | |
| 99408 | <1% | 12 | $25.57 | |
| G0008 | Administration of influenza virus vaccine | <1% | 37 | $23.79 |
| 91307 | <1% | 635 | $0.12 | |
| 91306 | <1% | 476 | $0.11 | |
| 91305 | <1% | 194 | $0.03 | |
| 91301 | <1% | 1,352 | $0.01 | |
| 3351F | 0% | 729 | $0.00 | |
| 2010F | 0% | 4,723 | $0.00 | |
| 3008F | 0% | 3,599 | $0.00 | |
| 3079F | 0% | 393 | $0.00 | |
| 1036F | 0% | 3,399 | $0.00 | |
| 2000F | 0% | 4,122 | $0.00 | |
| 2001F | 0% | 3,343 | $0.00 | |
| 3075F | 0% | 134 | $0.00 | |
| 3074F | 0% | 3,016 | $0.00 | |
| 4010F | 0% | 111 | $0.00 | |
| 1034F | 0% | 27 | $0.00 | |
| 4037F | 0% | 82 | $0.00 | |
| 3044F | 0% | 13 | $0.00 | |
| 4274F | 0% | 2,015 | $0.00 | |
| 1160F | 0% | 2,057 | $0.00 | |
| 3078F | 0% | 2,942 | $0.00 | |
| 1159F | 0% | 2,057 | $0.00 | |
| 4040F | 0% | 619 | $0.00 | |
| 91312 | 0% | 229 | $0.00 | |
| 3077F | 0% | 85 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Virginia Garcia Memorial Health Center | Cornelius, OR | $4.10M |
| Virginia Garcia Memorial Health Center | Mcminnville, OR | $2.89M |
| Virginia Garcia Memorial Health Center | Cornelius, OR | $2.34M |
| Virginia Garcia Memorial Health Center | Hillsboro, OR | $1.87M |
| Virginia Garcia Memorial Health Center | Beaverton, OR | $1.86M |
| Virginia Garcia Memorial Health Center | Beaverton, OR | $1.21M |
| Virginia Garcia Memorial Health Center | Hillsboro, OR | $780K |
| Virginia Garcia Memorial Health Center | Newberg, OR | $678K |
| Virginia Garcia Memorial Health Center | Newberg, OR | $557K |
| Virginia Garcia Memorial Health Center | Hillsboro, OR | $264K |
| Virginia Garcia Memorial Health Center | Beaverton, OR | $193K |
| Virginia Garcia Memorial Health Center | Forest Grove, OR | $175K |
| Virginia Garcia Memorial Health Center | Mcminnville, OR | $104K |
| Virginia Garcia Memorial Health Center | Willamina, OR | $73K |
| Virginia Garcia Memorial Health Center | Hillsboro, OR | $48K |
| Virginia Garcia Memorial Health Center | Tigard, OR | $47K |
| Virginia Garcia Memorial Health Center | Beaverton, OR | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.