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

ST. Charles Health System, INC.

ST. Charles Health System, INC. was paid $4.46M by Medicaid between Jan 2018 and Dec 2024, across 277 billing codes. Its largest line is 99283, emergency room visit (moderate) — 32% of everything it billed.

33Billing provider infoST. CHARLES HEALTH SYSTEM, INC.
BEND, OR 97701
33aNPI1982621447assigned 07/17/2006
28Total paid$4.46M
24GClaims658,460
24DCodes billed277
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Oregon

Rank by total paid#5 of 96
Median peer was paid$14K
This provider vs. median319×

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$100K$200K2018201920202021202220232024
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
2018173,910$323K
201973,848$688K
202052,750$345K
202191,773$669K
202287,234$721K
202392,903$785K
2024incomplete86,042$932K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 32% 46,027 40,888 $1.43M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 25% 22,282 19,536 $1.11M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5.5% 14,438 13,013 $246K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.1% 9,927 3,996 $227K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.4% 4,435 2,091 $197K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.4% 2,871 2,553 $153K
0002A 2.4% 4,684 4,299 $107K
99239 Hospital discharge day management, more than 30 minutes 2.3% 2,379 2,234 $104K
0001A 2.3% 4,712 4,276 $101K
99223 Prolong inpt eval add15 m 1.8% 1,194 1,136 $82K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.6% 4,609 4,214 $69K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 1.4% 861 691 $61K
265 more codes
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.4% 21,068 $61K
99460 1.0% 743 $47K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 4,534 $39K
80053 Comprehensive metabolic panel <1% 92,810 $36K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 96,939 $33K
96361 Intravenous infusion, hydration; each additional hour <1% 5,009 $28K
96375 Therapeutic injection; each additional sequential IV push <1% 5,538 $26K
0012A <1% 902 $20K
99213 Doctor's office visit, returning patient (routine) <1% 3,231 $19K
0011A <1% 986 $18K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 1,375 $16K
36415 Collection of venous blood by venipuncture <1% 81,413 $13K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 125 $12K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 5,561 $11K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 13,094 $11K
41899 Unlisted procedure, dentoalveolar structures <1% 185 $9K
J7120 Ringers lactate infusion, up to 1000 cc <1% 8,300 $9K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 70 $8K
99222 Initial hospital care, per day, moderate complexity <1% 153 $8K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 655 $8K
99214 Doctor's office visit, returning patient (more involved) <1% 1,228 $8K
84443 Thyroid stimulating hormone (TSH) <1% 11,892 $7K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 574 $7K
99220 <1% 112 $7K
80061 Lipid panel <1% 11,114 $7K
90791 Psychiatric diagnostic evaluation <1% 93 $7K
81513 <1% 535 $6K
71046 Radiologic examination, chest; 2 views <1% 1,546 $6K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 3,477 $5K
J7030 Infusion, normal saline solution , 1000 cc <1% 9,523 $5K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 466 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,764 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,769 $4K
90834 Psychotherapy session, about 45 minutes <1% 37 $4K
59025 Fetal non-stress test <1% 645 $4K
99238 Hospital discharge day management, 30 minutes or less <1% 76 $3K
83036 Hemoglobin; glycosylated (A1C) <1% 6,413 $3K
90686 <1% 181 $3K
0031A <1% 99 $3K
81001 <1% 19,527 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 103 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 612 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 692 $2K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 846 $2K
86780 <1% 1,215 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,955 $2K
87481 <1% 535 $2K
71045 Radiologic examination, chest; single view <1% 347 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 771 $2K
86900 <1% 289 $1K
J2704 Injection, propofol, 10 mg <1% 6,989 $1K
87086 Culture, bacterial; quantitative colony count, urine <1% 7,120 $1K
70450 Computed tomography, head or brain; without contrast material <1% 466 $1K
87430 <1% 1,273 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 1,759 $1K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 24 $1K
90682 <1% 25 $1K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 118 $1K
94060 <1% 25 $1K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 64 $1K
86803 <1% 1,769 $970.35
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 524 $953.54
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,951 $917.96
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 172 $880.83
80074 <1% 296 $860.85
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 440 $688.65
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 123 $687.84
87631 <1% 857 $637.16
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 499 $636.30
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 96 $620.28
83690 <1% 4,860 $617.26
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 219 $611.59
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 293 $569.82
86140 <1% 3,046 $513.74
83605 <1% 1,222 $453.30
72125 Computed tomography, cervical spine; without contrast material <1% 16 $443.03
80048 Basic metabolic panel (calcium, ionized) <1% 2,791 $412.36
87507 <1% 157 $411.63
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,806 $379.25
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,471 $342.14
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 25 $323.63
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 657 $282.05
84484 <1% 2,757 $262.41
85652 <1% 3,176 $253.86
82565 <1% 2,134 $235.96
87480 <1% 754 $227.76
87510 <1% 754 $227.76
87660 <1% 758 $227.76
87486 <1% 1,031 $222.39
87581 <1% 1,030 $201.54
71275 Computed tomographic angiography, chest, with contrast material <1% 84 $188.98
85027 <1% 1,891 $186.56
82728 <1% 1,218 $172.97
87081 <1% 2,007 $172.97
G0378 Hospital observation service, per hour <1% 350 $172.78
84439 <1% 1,411 $170.30
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,318 $169.23
80076 <1% 716 $167.52
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 90 $164.44
84466 <1% 1,076 $152.69
J7050 Infusion, normal saline solution, 250 cc <1% 545 $149.44
84703 <1% 1,834 $139.48
81003 <1% 976 $138.94
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 267 $133.32
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 17 $132.30
87070 <1% 1,613 $127.27
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 429 $111.00
84460 <1% 476 $106.05
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 12 $103.50
84450 <1% 422 $99.09
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 979 $95.60
99152 <1% 145 $93.30
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,536 $89.99
83880 <1% 295 $88.63
81025 <1% 508 $86.41
93971 <1% 15 $84.96
83540 <1% 1,100 $78.37
87077 <1% 1,953 $71.85
87088 <1% 1,930 $71.49
87276 <1% 357 $68.18
J1170 Injection, hydromorphone, up to 4 mg <1% 728 $65.75
82962 <1% 635 $63.56
85379 <1% 332 $58.24
82607 <1% 600 $56.78
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 2,091 $54.55
83735 <1% 559 $54.02
87205 <1% 1,153 $53.53
87186 <1% 1,566 $52.61
85610 <1% 1,094 $48.30
87147 <1% 965 $45.78
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 937 $45.60
87275 <1% 357 $43.69
J2270 Injection, morphine sulfate, up to 10 mg <1% 591 $42.78
82950 <1% 590 $40.23
87040 <1% 262 $40.02
85007 <1% 870 $36.61
87075 <1% 174 $36.00
86762 <1% 106 $31.36
96376 <1% 587 $30.18
84702 <1% 512 $29.16
87340 <1% 294 $25.76
81002 <1% 277 $25.00
82784 <1% 206 $24.12
87046 <1% 250 $23.79
J2060 Injection, lorazepam, 2 mg <1% 304 $22.43
87899 <1% 333 $21.86
J0690 Injection, cefazolin sodium, 500 mg <1% 311 $21.16
99153 Mod sedat endo service >5yrs <1% 69 $20.18
G0475 Hiv antigen/antibody, combination assay, screening <1% 460 $19.62
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 701 $19.39
84481 <1% 176 $17.64
86901 <1% 322 $17.51
86592 <1% 582 $16.51
J0780 Injection, prochlorperazine, up to 10 mg <1% 230 $14.23
86850 <1% 411 $13.32
97602 <1% 93 $12.62
86704 <1% 54 $12.43
82746 <1% 393 $11.98
87338 <1% 78 $11.34
86038 <1% 189 $10.44
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 366 $10.08
87807 <1% 18 $10.06
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 360 $8.61
87045 <1% 250 $7.93
82977 <1% 55 $6.46
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 14 $6.37
82043 <1% 474 $4.86
J1644 Injection, heparin sodium, per 1000 units <1% 47 $4.66
82247 <1% 177 $4.09
85014 <1% 80 $3.03
89051 <1% 14 $1.94
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 13 $0.54
88720 0% 53 $0.00
83615 0% 188 $0.00
83001 0% 195 $0.00
87529 0% 49 $0.00
80055 0% 201 $0.00
85730 0% 254 $0.00
84402 0% 168 $0.00
80349 0% 67 $0.00
84132 0% 43 $0.00
85018 0% 38 $0.00
88305 Level IV - Surgical pathology, gross and microscopic examination 0% 141 $0.00
89190 0% 92 $0.00
87522 Neg quan hep c or qual rna 0% 93 $0.00
82550 0% 134 $0.00
80081 0% 262 $0.00
36591 0% 374 $0.00
86376 0% 67 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 120 $0.00
82952 0% 12 $0.00
86706 0% 143 $0.00
76830 Ultrasound, transvaginal 0% 154 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 37 $0.00
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 0% 357 $0.00
45380 Colonoscopy, flexible; with biopsy, single or multiple 0% 39 $0.00
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 0% 215 $0.00
80178 0% 188 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 0% 41 $0.00
82670 0% 66 $0.00
84153 0% 371 $0.00
86430 0% 146 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 17 $0.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 0% 13 $0.00
82105 0% 137 $0.00
86664 0% 27 $0.00
93351 0% 25 $0.00
86800 0% 29 $0.00
76819 Fetal biophysical profile; without non-stress testing 0% 16 $0.00
87255 0% 17 $0.00
86141 0% 18 $0.00
82803 0% 15 $0.00
97162 0% 29 $0.00
97802 0% 76 $0.00
96415 0% 17 $0.00
86701 0% 19 $0.00
82951 0% 24 $0.00
86702 0% 19 $0.00
84154 0% 20 $0.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 0% 16 $0.00
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 0% 12 $0.00
84480 0% 12 $0.00
83002 0% 40 $0.00
87177 0% 125 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 275 $0.00
83516 0% 191 $0.00
87209 0% 125 $0.00
86480 0% 27 $0.00
84146 0% 117 $0.00
84100 0% 94 $0.00
84520 0% 155 $0.00
84403 0% 241 $0.00
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 0% 1,090 $0.00
86665 0% 76 $0.00
87329 0% 125 $0.00
97163 0% 13 $0.00
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 0% 175 $0.00
97803 0% 192 $0.00
80356 0% 31 $0.00
97116 0% 300 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 0% 691 $0.00
84156 0% 58 $0.00
87210 0% 232 $0.00
83970 0% 59 $0.00
96367 0% 324 $0.00
84550 0% 284 $0.00
80164 0% 33 $0.00
99001 0% 20 $0.00
80365 0% 31 $0.00
82570 0% 39 $0.00
86787 0% 13 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 19 $0.00
82274 0% 14 $0.00
82947 0% 57 $0.00
86703 0% 86 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 0% 54 $0.00
86003 0% 73 $0.00
87324 0% 16 $0.00
97167 0% 28 $0.00
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 0% 16 $0.00
99442 0% 12 $0.00
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 0% 15 $0.00
93017 0% 17 $0.00
76000 0% 12 $0.00
82248 0% 26 $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 officialSWAFFORD, MATT (CHIEF FINANCIAL OFFICER)