Albany General Hospital
Albany General Hospital was paid $4.91M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
ALBANY, OR 97321
Next to other Pediatrics Physician 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 | 16,664 | $821K | |
| 2019 | 15,624 | $903K | |
| 2020 | 8,620 | $523K | |
| 2021 | 10,344 | $604K | |
| 2022 | 11,095 | $735K | |
| 2023 | 9,458 | $646K | |
| 2024incomplete | 10,024 | $682K |
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 | 40% | 27,180 | 24,824 | $1.96M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 10,281 | 9,142 | $918K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 5,793 | 5,672 | $579K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 7.4% | 2,704 | 2,197 | $362K |
| 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 | 5.3% | 2,361 | 2,252 | $262K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.9% | 1,396 | 1,383 | $143K |
| 90686 | 2.3% | 5,432 | 5,373 | $114K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 5,585 | 5,501 | $80K |
| 90670 | 1.5% | 3,912 | 3,852 | $75K | |
| 90698 | 1.2% | 3,125 | 3,090 | $60K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 522 | 514 | $55K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,205 | 1,194 | $40K |
39 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 753 | $35K |
| 90680 | <1% | 1,415 | $28K | |
| 99493 | <1% | 216 | $28K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 165 | $23K |
| 90461 | <1% | 685 | $22K | |
| 90677 | <1% | 766 | $16K | |
| 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) | <1% | 648 | $14K |
| 90685 | <1% | 705 | $14K | |
| 90656 | <1% | 544 | $12K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 587 | $11K |
| 90697 | <1% | 460 | $10K | |
| 90744 | <1% | 508 | $9K | |
| 99188 | <1% | 607 | $8K | |
| 99173 | <1% | 2,121 | $6K | |
| 90633 | <1% | 333 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 205 | $4K |
| D0191 | <1% | 384 | $3K | |
| 99484 | <1% | 42 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 17 | $3K |
| 90651 | <1% | 106 | $2K | |
| 0072A | <1% | 43 | $2K | |
| 90734 | <1% | 68 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 63 | $1K |
| 96160 | <1% | 372 | $1K | |
| 90480 | <1% | 26 | $1K | |
| 0071A | <1% | 16 | $615.20 | |
| 83655 | <1% | 26 | $607.90 | |
| 0001A | <1% | 12 | $461.40 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 17 | $388.96 |
| 85018 | <1% | 91 | $298.50 | |
| 90715 | <1% | 25 | $285.48 | |
| 90672 | <1% | 13 | $285.48 | |
| 91307 | <1% | 178 | $0.51 | |
| 36416 | 0% | 39 | $0.00 | |
| 91300 | 0% | 12 | $0.00 | |
| 90710 | 0% | 18 | $0.00 | |
| 90473 | 0% | 15 | $0.00 | |
| 90713 | 0% | 15 | $0.00 | |
| 90700 | 0% | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Albany General Hospital | Albany, OR | $2.01M |
| Albany General Hospital | Albany, OR | $1.02M |
| Albany General Hospital | Albany, OR | $273K |
| Albany General Hospital | Albany, OR | $270K |
| Albany General Hospital | Albany, OR | $231K |
| Albany General Hospital | Albany, OR | $229K |
| Albany General Hospital | Albany, OR | $128K |
| Albany General Hospital | Albany, OR | $65K |
| Albany General Hospital | Albany, OR | $34K |
| Albany General Hosptial | Albany, OR | $29K |
| Albany General Hospital | Albany, OR | $13K |
| Albany General Hospital | Albany, OR | $5K |
| Albany General Hospital | Albany, OR | $495.39 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.