Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Avalon Health Care - Rose Haven, LLC

Avalon Health Care - Rose Haven, LLC was paid $112K by Medicaid between Jan 2018 and Aug 2020, across 9 billing codes. Its largest line is 99310, Prolong nursin fac eval 15m — 59% of everything it billed.

33Billing provider infoAVALON HEALTH CARE - ROSE HAVEN, LLC
ROSEBURG, OR 97471
33aNPI1952850760assigned 09/22/2016
28Total paid$112K
24GClaims6,044
24DCodes billed9
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers

Next to other General Practice Physician providers in Oregon

Rank by total paid#12 of 23
Median peer was paid$112K
This provider vs. median1.0×

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

$0$5.0K$10K2018201920202021202220232024
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
20181,509$28K
20192,439$43K
20202,096$40K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99310 Prolong nursin fac eval 15m 59% 3,021 1,794 $66K
99309 Subsequent nursing facility care, per day, low to moderate complexity 24% 1,551 909 $27K
99308 Subsequent nursing facility care, per day, straightforward 11% 1,002 462 $12K
99306 Prolong nursin fac eval 15m 3.6% 102 78 $4K
99497 1.5% 101 70 $2K
99307 <1% 152 83 $444.77
99316 <1% 15 12 $246.19
G8482 Influenza immunization administered or previously received 0% 69 52 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 31 12 $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 officialLINCOLN, FAYE (SVP GOVERNMENT RELATIONS)
Same official

Other billing entities under LINCOLN, FAYE

Full network →
ProviderLocationPaid
Avalon Valley Care Center LLCSalt Lake City, UT$499.68
Richfield Care Center, LLCRichfield, UT$168.26
Avalon Care Center-Willow Wood, INCSalt Lake City, UT$131.01
Bennion Care Center, LLCSalt Lake City, UT$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.