Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CASCADIA HEALTH

NPI: 1972878031 · OREGON CITY, OR 97045 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 03/21/2012

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T1020 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official MCALPINE, HEATHER controls 13+ related entities in our dataset. Read more

$2.31M
Total Medicaid Paid
12,086
Total Claims
455
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialMCALPINE, HEATHER (CREDENTIALING SPECIALIST)
NPI Enumeration Date03/21/2012

Related Entities

Other providers sharing the same authorized official: MCALPINE, HEATHER

ProviderCityStateTotal Paid
CASCADIA HEALTH PORTLAND OR $76.79M
CASCADIA HEALTH PORTLAND OR $14.24M
CASCADIA HEALTH PORTLAND OR $12.15M
CASCADIA HEALTH PORTLAND OR $8.15M
CASCADIA HEALTH PORTLAND OR $7.84M
CASCADIA HEALTH PORTLAND OR $1.55M
CASCADIA HEALTH PORTLAND OR $1.15M
CASCADIA HEALTH MILWAUKIE OR $184K
CASCADIA HEALTH PORTLAND OR $176K
CASCADIA HEALTH OREGON CITY OR $40K
CASCADIA HEALTH GLADSTONE OR $25K
CASCADIA HEALTH PORTLAND OR $18K
CASCADIA HEALTH PORTLAND OR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,496 $215K
2019 3,384 $466K
2020 1,023 $217K
2021 1,347 $297K
2022 707 $204K
2023 604 $173K
2024 2,525 $738K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1020 Personal 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) 12,086 455 $2.31M