Physician
Optimal Health of Southern Oregon, LLC
Optimal Health of Southern Oregon, LLC was paid $20K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.
33Billing provider infoOPTIMAL HEALTH OF SOUTHERN OREGON, LLC
GRANTS PASS, OR 97526
GRANTS PASS, OR 97526
33aNPI1902353907assigned 09/07/2016
33bProvider typeFamily Medicine Physician
28Total paid$20K
24GClaims11,007
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Oregon
Rank by total paid#125 of 208
Median peer was paid$49K
This provider vs. median0.4×
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 | 1,795 | $4K | |
| 2019 | 2,041 | $4K | |
| 2020 | 1,631 | $3K | |
| 2021 | 2,184 | $4K | |
| 2022 | 1,311 | $2K | |
| 2023 | 1,170 | $1K | |
| 2024incomplete | 875 | $826.30 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 71% | 7,193 | 5,976 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 2,901 | 2,557 | $3K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 12% | 122 | 85 | $2K |
| 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 | 2.0% | 47 | 47 | $393.59 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 64 | 60 | $176.58 |
| 96160 | <1% | 212 | 201 | $51.40 | |
| 3078F | 0% | 98 | 95 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 15 | 13 | $0.00 |
| 3074F | 0% | 271 | 259 | $0.00 | |
| 3079F | 0% | 45 | 42 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 20 | 12 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 19 | 17 | $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.
From NPPES
Who's on the registration
Authorized officialHEIDINGER, WENDELL (OWNER)