Oregon's 6,629 Medicaid providers billed $7.72B between 2018 and 2024. The most-billed code is 90837, accounting for $500.73M in payments. Portland is the largest Medicaid billing hub in the state. 6 providers in OR appear on the OIG exclusion list.
| Code | Description | Total Paid |
|---|---|---|
| 90837 | Psychotherapy, 53 minutes with patient | $500.73M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $469.57M |
| 99284 | Emergency department visit for the evaluation and management, high severity | $405.25M |
PORTLAND ($2.65B) SALEM ($557.06M) EUGENE ($545.08M) MEDFORD ($398.86M) BEND ($251.91M) SPRINGFIELD ($237.10M) ROSEBURG ($171.99M) HILLSBORO ($144.73M) BEAVERTON ($129.40M) PENDLETON ($128.79M) GRANTS PASS ($125.69M) CORVALLIS ($125.45M) TIGARD ($112.95M) GRESHAM ($108.47M) KLAMATH FALLS ($95.58M) ALBANY ($88.77M) MILWAUKIE ($88.63M) REDMOND ($88.04M) OREGON CITY ($79.58M) AURORA ($79.04M) MCMINNVILLE ($75.46M) COOS BAY ($71.90M) LEBANON ($68.25M) NEWPORT ($61.71M) CLACKAMAS ($60.50M) HERMISTON ($56.25M) DALLAS ($49.61M) SILVERTON ($48.42M) NEWBERG ($44.76M) TUALATIN ($41.96M) WOODBURN ($39.15M) LA GRANDE ($38.74M) ASTORIA ($33.08M) THE DALLES ($32.17M) COTTAGE GROVE ($30.45M) TILLAMOOK ($30.06M) WARM SPRINGS ($29.52M) ALOHA ($28.71M) BAKER CITY ($28.07M) COBURG ($27.95M) ASHLAND ($27.04M) ONTARIO ($26.16M) SAINT HELENS ($25.04M) JASPER ($24.73M) HOOD RIVER ($24.63M) ENTERPRISE ($23.67M) FLORENCE ($23.21M) KEIZER ($22.79M) PRINEVILLE ($21.99M) LINCOLN CITY ($19.16M)
Automated signals based on claims-per-beneficiary ratios, single-code concentration, and OIG exclusion status. These are statistical outliers — not evidence of fraud. Learn more
| # | Provider | Total Paid | Flags |
|---|---|---|---|
| 1 | OPTIONS FOR SOUTHERN OREGON, INC | $11.51M | single-code billing |
| 2 | MULTNOMAH COUNTY | $9.44M | single-code billing |
| 3 | PARKSIDE LIVING RTF | $9.24M | single-code billing |
| 4 | NORTHWEST HABILITATION SERVICES, LLC | $8.70M | single-code billing |
| 5 | CASCADIA HEALTH | $8.15M | single-code billing |
| 6 | THE POWER HOUSE RESIDENTIAL DRUG TREATMENT CENTER INC | $7.86M | single-code billing |
| 7 | CAMERON CARE POWELL | $7.27M | single-code billing |
| 8 | WASHINGTON COUNTY HEALTH & HUMAN SERVICES | $7.12M | single-code billing |
| 9 | CARSON HOLDINGS, LLC | $6.61M | single-code billing |
| 10 | NORTHWEST PREMIER LLC | $6.58M | single-code billing |
| 11 | COLUMBIACARE SERVICES | $6.58M | single-code billing |
| 12 | LANE COUNTY | $6.17M | single-code billing |
| 13 | FOREST DRIVE OPERATIONS, LLC | $5.95M | single-code billing |
| 14 | COUNTY OF LINCOLN | $5.85M | single-code billing |
| 15 | AVAMERE SANDY OPERATIONS, LLC | $5.38M | single-code billing |
| 16 | UNION COUNTY | $4.84M | single-code billing |
| 17 | CAMERON CARE GARFIELD | $4.70M | single-code billing |
| 18 | AVAMERE SHERWOOD OPERATIONS, LLC | $4.65M | single-code billing |
| 19 | COMTRANS OF OREGON, LLC | $3.52M | single-code billing |
| 20 | PIONEER GUEST HOME II, INC | $2.92M | single-code billing |
| 21 | COGNITIVE ENRICHMENT CONCEPTS LLC | $2.90M | single-code billing |
| 22 | UNITED COMMUNITY ACTION NETWORK | $2.44M | single-code billing |
| 23 | YAMHILL COUNTY HHS PUBLIC HEALTH-MCH | $2.41M | single-code billing |
| 24 | GATEWAY DENTAL SURGERY CENTER | $2.38M | single-code billing |
| 25 | BRIDGE TO PATHWAYS | $2.36M | single-code billing |
| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | TRILLIUM FAMILY SERVICES, INC. | PORTLAND | 188,219 | $154.48M |
| 2 | BYRAM HEALTHCARE CENTERS, INC. | PORTLAND | 1,792,633 | $123.87M |
| 3 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | PORTLAND | 1,341,812 | $116.27M |
| 4 | CENTRAL CITY CONCERN | PORTLAND | 656,007 | $94.93M |
| 5 | CODA, INC. | PORTLAND | 2,935,265 | $81.03M |
| 6 | LIFE FLIGHT NETWORK LLC | AURORA | 105,603 | $79.04M |
| 7 | CASCADIA HEALTH | PORTLAND | 699,490 | $76.79M |
| 8 | GRIDWORKS LAB, INC. | PORTLAND | 4,127,447 | $70.82M |
| 9 | OREGON HEALTH & SCIENCE UNIVERSITY | PORTLAND | 1,421,542 | $70.79M |
| 10 | INTERPATH LABORATORY, INC. | PENDLETON | 5,418,620 | $70.05M |
| 11 | WILLAMETTE FAMILY, INC | EUGENE | 408,819 | $65.97M |
| 12 | SALEM HEALTH | SALEM | 1,458,232 | $65.77M |
| 13 | MULNOMAH COUNTY | PORTLAND | 2,108,871 | $64.90M |
| 14 | LEGACY EMANUEL HOSPITAL & HEALTH CENTER | PORTLAND | 677,162 | $64.24M |
| 15 | AMERICAN MEDICAL RESPONSE NORTHWEST INC | PORTLAND | 488,706 | $62.04M |
| 16 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | PORTLAND | 1,337,993 | $61.71M |
| 17 | LIFEWORKS NW | PORTLAND | 426,119 | $57.64M |
| 18 | UNIVERSITY PROFESSIONAL SERVICES | PORTLAND | 1,563,174 | $55.69M |
| 19 | FORA HEALTH INC. | PORTLAND | 195,847 | $54.41M |
| 20 | OREGON HEALTH & SCIENCE UNIVERSITY | PORTLAND | 10,868 | $52.13M |
| 21 | LEGACY EMANUEL HOSPITAL & HEALTH CENTER | PORTLAND | 83,433 | $50.80M |
| 22 | PROVIDENCE HEALTH & SERVICES - OREGON | PORTLAND | 736,141 | $49.08M |
| 23 | LEGACY CLINICS LLC | PORTLAND | 809,900 | $48.79M |
| 24 | LANE TRANSIT DISTRICT | EUGENE | 2,107,871 | $47.07M |
| 25 | NEW NARRATIVE | TIGARD | 81,974 | $46.93M |
| 26 | BRIDGEWAY RECOVERY SERVICES | SALEM | 205,739 | $45.89M |
| 27 | PROVIDENCE HEALTH & SERVICES OREGON | PORTLAND | 570,654 | $45.49M |
| 28 | PEACEHEALTH MEDICAL GROUP | EUGENE | 933,553 | $45.46M |
| 29 | MCKENZIE-WILLAMETTE REGIONAL MEDICAL CENTER ASSOCIATES LLC | SPRINGFIELD | 705,434 | $44.67M |
| 30 | LEGACY MOUNT HOOD MEDICAL CENTER | GRESHAM | 513,568 | $43.16M |
| 31 | NORTHWEST ACUTE CARE SPECIALISTS PC | PORTLAND | 644,602 | $42.71M |
| 32 | PORTLAND ADVENTIST MEDICAL CENTER | PORTLAND | 831,204 | $41.80M |
| 33 | PROVIDENCE HEALTH & SERVICES - OREGON | PORTLAND | 335,360 | $36.94M |
| 34 | MID-VALLEY HEALTHCARE INC | LEBANON | 402,169 | $34.47M |
| 35 | VOLUNTEERS OF AMERICA INC. | PORTLAND | 224,021 | $33.56M |
| 36 | BESTCARE TREATMENT SERVICES INC | REDMOND | 178,566 | $33.37M |
| 37 | BRIGHTWAYS COUNSELING GROUP LLC | REDMOND | 197,077 | $32.69M |
| 38 | NATIVE AMERICAN REHABILITATION ASSOC INC | PORTLAND | 244,293 | $32.51M |
| 39 | PEACEHEALTH | SPRINGFIELD | 393,894 | $30.72M |
| 40 | GOOD SHEPHERD HEALTH CARE SYSTEM | HERMISTON | 469,852 | $30.70M |
| 41 | SKY LAKES MEDICAL CENTER INC | KLAMATH FALLS | 1,036,901 | $30.27M |
| 42 | OPTION 1 NORTHWEST ENTERAL, LLC | BEAVERTON | 210,007 | $30.16M |
| 43 | ASANTE | MEDFORD | 681,755 | $29.67M |
| 44 | ADDICTIONS RECOVERY CENTER, INC. | MEDFORD | 263,222 | $29.27M |
| 45 | COMMONSPIRIT OREGON | ROSEBURG | 784,468 | $29.19M |
| 46 | SILVERTON HEALTH | SILVERTON | 269,036 | $29.18M |
| 47 | SALEM CLINIC, PC | SALEM | 674,433 | $28.32M |
| 48 | SERENITY LANE | COBURG | 130,582 | $27.94M |
| 49 | TUALITY HEALTHCARE | HILLSBORO | 486,780 | $27.82M |
| 50 | CRC HEALTH OREGON, LLC | PORTLAND | 1,864,381 | $27.60M |
| 51 | SEQUOIA MENTAL HEALTH SERVICES INC | ALOHA | 141,395 | $27.58M |
| 52 | ASANTE THREE RIVERS MEDICAL CENTER, LLC | GRANTS PASS | 576,307 | $27.57M |
| 53 | ASANTE PHYSICIAN PARTNERS | MEDFORD | 550,297 | $27.17M |
| 54 | CRC HEALTH OREGON, LLC | SALEM | 1,966,359 | $26.06M |
| 55 | CLACKAMAS COUNTY | OREGON CITY | 433,097 | $25.98M |
| 56 | OPTIONS COUNSELING SERVICES OF OREGON | EUGENE | 223,954 | $25.96M |
| 57 | SALEM EMERGENCY PHYSICIANS SERVICE, PC | SALEM | 316,376 | $25.87M |
| 58 | ALBANY GENERAL HOSPITAL | ALBANY | 381,750 | $25.57M |
| 59 | LEGACY LABORATORY SERVICES, LLC | PORTLAND | 2,343,078 | $24.82M |
| 60 | JASPER MOUNTAIN | JASPER | 2,715 | $24.73M |
| 61 | CRC HEALTH OREGON, LLC | PORTLAND | 1,990,675 | $24.34M |
| 62 | METRO WEST AMBULANCE, INC | HILLSBORO | 182,289 | $22.80M |
| 63 | SALEM PSYCHIATRIC ASSOCIATES PC | SALEM | 155,401 | $22.73M |
| 64 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK | TILLAMOOK | 257,262 | $22.37M |
| 65 | QUEST DIAGNOSTICS CLINICAL LABORATORIES INC | PORTLAND | 1,578,051 | $21.85M |
| 66 | COLUMBIA LUTHERAN CHARITIES | ASTORIA | 177,056 | $21.46M |
| 67 | WARM SPRINGS HEALTH AND WELLNESS DHHS IHS WARM SPRINGS SERVICE UNIT | WARM SPRINGS | 110,151 | $21.12M |
| 68 | PROVIDENCE HEALTH & SERVICES - OREGON | MEDFORD | 267,858 | $20.93M |
| 69 | FALCK NORTHWEST CORP | SALEM | 193,648 | $20.77M |
| 70 | KAIROS NORTHWEST | GRANTS PASS | 112,312 | $20.73M |
| 71 | SAMARITAN PACIFIC HEALTH SERVICES, INC | NEWPORT | 267,155 | $20.55M |
| 72 | LANE COUNTY OREGON | SPRINGFIELD | 832,295 | $20.54M |
| 73 | SPRINGFIELD TREATMENT CENTER | SPRINGFIELD | 249,547 | $20.46M |
| 74 | PROVIDENCE HEALTH & SERVICES OREGON | MILWAUKIE | 219,292 | $20.46M |
| 75 | PLANNED PARENTHOOD OF THE COLUMBIA/WILLAMETTE, INC. | PORTLAND | 389,162 | $20.33M |
| 76 | PEACEHEALTH | FLORENCE | 213,107 | $20.18M |
| 77 | PROVIDENCE HEALTH & SERVICES - OREGON | NEWBERG | 177,310 | $20.12M |
| 78 | GRANDE RONDE HOSPITAL, INC. | LA GRANDE | 214,618 | $20.12M |
| 79 | PROVIDENCE HEALTH & SERVICES - OREGON | OREGON CITY | 247,201 | $19.48M |
| 80 | MERCY FLIGHTS INCORPORATED | MEDFORD | 125,717 | $19.44M |
| 81 | WALLOWA VALLEY CENTER FOR WELLNESS | ENTERPRISE | 25,641 | $18.95M |
| 82 | CHILDREN'S NURSING SPECIALTIES, INC. | PORTLAND | 8,802 | $18.91M |
| 83 | CONFEDERATED TRIBES OF THE GRAND RONDE COMMUNITY OF OREGON | GRAND RONDE | 204,522 | $18.57M |
| 84 | OPTION CARE AT LEGACY HEALTH LLC | PORTLAND | 119,965 | $18.55M |
| 85 | NEW DIRECTIONS NORTHWEST, INC | BAKER CITY | 78,011 | $18.49M |
| 86 | LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER | PORTLAND | 263,395 | $18.33M |
| 87 | KAISER FOUNDATION HOSPITALS | CLACKAMAS | 227,258 | $18.00M |
| 88 | PENDLETON HOUSE | PENDLETON | 19,002 | $17.86M |
| 89 | WILLAMETTE VALLEY MEDICAL CENTER LLC | MCMINNVILLE | 256,422 | $17.29M |
| 90 | PEACEHEALTH | COTTAGE GROVE | 213,184 | $17.23M |
| 91 | CRC HEALTH OREGON, LLC | PORTLAND | 870,207 | $17.15M |
| 92 | LEGACY EMANUEL HOSPITAL & HEALTH CENTER | PORTLAND | 286,482 | $17.03M |
| 93 | EUGENE EMERGENCY PHYSICIANS PC | EUGENE | 208,039 | $16.91M |
| 94 | POWER HOUSE DETOX | OTIS | 6,944 | $16.67M |
| 95 | NEPENTHE LABORATORY SERVICES LLC | EUGENE | 304,810 | $16.60M |
| 96 | LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC. | MEDFORD | 403,593 | $16.55M |
| 97 | COMPASS ENTERPRISE, INC | HILLSBORO | 61,879 | $16.34M |
| 98 | KLAMATH CHILD AND FAMILY TREATMENT CENTER | KLAMATH FALLS | 210,691 | $16.21M |
| 99 | SALEM HEALTH WEST VALLEY | DALLAS | 200,181 | $16.20M |
| 100 | ORTC, LLC | BEND | 198,488 | $16.19M |