Pendleton House

Pendleton House was paid $17.86M by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is T1020, help at home with daily living, billed per day — 79% of everything it billed.

33Billing provider infoPENDLETON HOUSE
PENDLETON, OR 97801

33aNPI1972758373assigned 11/26/2008

33bProvider typeMental Illness Community Based Residential Treatment Facility

28Total paid$17.86M

24GClaims19,002

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Mental Illness Community Based Residential Treatment Facility providers in Oregon

Rank by total paid#3 of 37

Median peer was paid$2.31M

This provider vs. median7.7×

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	1,335	$2.11M
2019	3,070	$2.12M
2020	2,368	$2.21M
2021	1,767	$2.69M
2022	3,096	$3.20M
2023	5,254	$3.82M
2024incomplete	2,112	$1.71M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1020	Help at home with daily living, billed per dayPersonal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)	79%	2,351	1,158	$14.19M
H2013	Psychiatric health facility service, per diem	9.0%	1,045	264	$1.62M
H2014	Skills training and development, per 15 minutes	8.8%	9,191	643	$1.58M
H0004	Behavioral health counseling and therapy, per 15 minutes	1.5%	1,983	455	$271K
H2032	Activity therapy, per 15 minutes	1.1%	4,223	546	$191K
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	<1%	115	108	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	45	44	$2K
T1016	Case management, each 15 minutes	<1%	34	26	$1K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	<1%	15	15	$1K

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 officialPETERS, JENNY (PROGRAM MANAGER)

Parent organizationDHS,OFFICE OF FINANCIAL SERVICES,DIRECTOR'S OFFICE