Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

WARM SPRINGS HEALTH AND WELLNESS DHHS IHS WARM SPRINGS SERVICE UNIT

Clinic/Center·WARM SPRINGS, OR·NPI: 1417084708Share

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.1M is at the 50th percentile among 13 Clinic/Center providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$21.1M

$21,123,933

Total Claims

110K

Beneficiaries

72K

1.5 claims/patient

Avg Cost/Claim

$192

Monthly Spending Trend

Yearly Spending

2018
$3.6M
-15%
2019
$3.0M
+25%
2020
$3.8M
+24%
2021
$4.7M
-32%
2022
$3.2M
-44%
2023
$1.8M
-35%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 33% of total spending.

99213Top 1%

Office/outpatient visit, est. patient, low-mod complexity

$7.1M

23K claims · 33.4%

Your Cost: $311.14/claim|Median: $37.81
8.2× median
99212Top 1%

Office/outpatient visit, low complexity

$6.9M

19K claims · 32.5%

Your Cost: $367.92/claim|Median: $25.06
14.7× median
D0140Top 1%

Limited oral evaluation, problem focused

$1.9M

6,400 claims · 9.0%

Your Cost: $296.60/claim|Median: $27.07
11.0× median
99211Top 1%

Office/outpatient visit, minimal complexity

$1.2M

3,914 claims · 5.8%

Your Cost: $311.67/claim|Median: $12.93
24.1× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$700K

2,393 claims · 3.3%

Your Cost: $292.61/claim|Median: $32.07
9.1× median
D0191Top 1%

$616K

1,646 claims · 2.9%

Your Cost: $374.05/claim|Median: $11.16
33.5× median
99214Top 1%

Office/outpatient visit, est. patient, mod-high complexity

$489K

1,335 claims · 2.3%

Your Cost: $365.97/claim|Median: $53.41
6.9× median
90471Top 1%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$337K

3,905 claims · 1.6%

Your Cost: $86.40/claim|Median: $9.80
8.8× median
D0120Top 1%

Periodic oral evaluation, established patient

$233K

1,017 claims · 1.1%

Your Cost: $228.76/claim|Median: $24.34
9.4× median
99441Top 1%

Telephone E/M by physician, 5-10 min

$225K

599 claims · 1.1%

Your Cost: $376.26/claim|Median: $13.30
28.3× median
0011ATop 1%

COVID-19 vaccine admin, Moderna, 1st dose

$163K

395 claims · 0.8%

Your Cost: $412.62/claim|Median: $25.93
15.9× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$148K

4,218 claims · 0.7%

Your Cost: $35.01/claim|Median: $34.62
1.0× median
0012ATop 1%

COVID-19 vaccine admin, Moderna, 2nd dose

$148K

421 claims · 0.7%

Your Cost: $350.42/claim|Median: $33.85
10.4× median
D1354Normal range

$98K

4,466 claims · 0.5%

Your Cost: $21.94/claim|Median: $12.52
1.8× median
D9995Top 1%

$90K

470 claims · 0.4%

Your Cost: $190.90/claim|Median: $13.12
14.6× median
92004Top 1%

Ophthalmological exam, comprehensive, new patient

$83K

210 claims · 0.4%

Your Cost: $397.58/claim|Median: $59.72
6.7× median
92340Top 1%

Fitting of spectacles, except for aphakia

$79K

473 claims · 0.4%

Your Cost: $167.01/claim|Median: $19.46
8.6× median
98966Top 1%

$66K

156 claims · 0.3%

Your Cost: $421.38/claim|Median: $6.84
61.6× median
0064ATop 1%

$62K

137 claims · 0.3%

Your Cost: $453.31/claim|Median: $34.17
13.3× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$61K

236 claims · 0.3%

Your Cost: $257.37/claim|Median: $47.08
5.5× median
D1120Top 1%

Prophylaxis, adult

$52K

635 claims · 0.2%

Your Cost: $81.70/claim|Median: $33.86
2.4× median
0071ATop 1%

$43K

93 claims · 0.2%

Your Cost: $466.91/claim|Median: $38.71
12.1× median
D2392Top 1%

Resin-based composite, two surfaces, posterior

$39K

181 claims · 0.2%

Your Cost: $217.44/claim|Median: $71.00
3.1× median
92012Top 1%

Ophthalmological exam, intermediate, established patient

$38K

89 claims · 0.2%

Your Cost: $422.69/claim|Median: $38.23
11.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$37K

5,904 claims · 0.2%

Your Cost: $6.28/claim|Median: $10.51
0.6× median
0072ATop 1%

$35K

73 claims · 0.2%

Your Cost: $483.45/claim|Median: $39.57
12.2× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$26K

4,909 claims · 0.1%

Your Cost: $5.30/claim|Median: $7.33
0.7× median
0002ATop 1%

COVID-19 vaccine admin, Pfizer, 2nd dose

$24K

48 claims · 0.1%

Your Cost: $508.19/claim|Median: $36.70
13.8× median
0001ATop 1%

COVID-19 vaccine admin, Pfizer, 1st dose

$24K

47 claims · 0.1%

Your Cost: $507.96/claim|Median: $33.72
15.1× median
D7210Top 5%

Extraction, erupted tooth, surgical approach

$23K

117 claims · 0.1%

Your Cost: $197.47/claim|Median: $109.42
1.8× median
D9310Top 5%

$19K

179 claims · 0.1%

Your Cost: $105.34/claim|Median: $46.20
2.3× median
92002Top 1%

Intermediate eye exam, new patient

$18K

54 claims · 0.1%

Your Cost: $329.72/claim|Median: $41.61
7.9× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$16K

122 claims · 0.1%

Your Cost: $128.54/claim|Median: $75.18
1.7× median
99442Top 1%

Telephone E/M by physician, 11-20 minutes

$14K

41 claims · 0.1%

Your Cost: $339.22/claim|Median: $22.44
15.1× median
D1351Normal range

Sealant, per tooth

$13K

3,029 claims · 0.1%

Your Cost: $4.34/claim|Median: $26.10
0.2× median
D0274Normal range

Bitewings, four radiographic images

$11K

1,207 claims · 0.0%

Your Cost: $8.71/claim|Median: $22.54
0.4× median
D9230Top 5%

Inhalation of nitrous oxide/analgesia, anxiolysis

$10K

143 claims · 0.0%

Your Cost: $71.78/claim|Median: $26.24
2.7× median
0031ATop 1%

COVID-19 vaccine admin, J&J, single dose

$8K

16 claims · 0.0%

Your Cost: $519.00/claim|Median: $32.49
16.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$7K

1,356 claims · 0.0%

Your Cost: $5.41/claim|Median: $5.50
1.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$6K

659 claims · 0.0%

Your Cost: $9.46/claim|Median: $7.18
1.3× median
D0145Top 1%

Oral evaluation for patient under 3 years, counseling

$6K

29 claims · 0.0%

Your Cost: $213.38/claim|Median: $57.30
3.7× median
80048Normal range

Basic metabolic panel

$3K

556 claims · 0.0%

Your Cost: $4.93/claim|Median: $5.78
0.9× median
D0330Normal range

Panoramic radiographic image

$2K

171 claims · 0.0%

Your Cost: $12.57/claim|Median: $37.36
0.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$2K

18 claims · 0.0%

Your Cost: $94.89/claim|Median: $69.35
1.4× median
90688Top 1%

$1K

20 claims · 0.0%

Your Cost: $65.40/claim|Median: $9.00
7.3× median
D0190Normal range

$1K

322 claims · 0.0%

Your Cost: $4.06/claim|Median: $12.78
0.3× median
D1110Normal range

Prophylaxis, adult cleaning

$1K

79 claims · 0.0%

Your Cost: $16.20/claim|Median: $43.38
0.4× median
D9630Normal range

$958

261 claims · 0.0%

Your Cost: $3.67/claim|Median: $17.78
0.2× median
90480Top 25%

$719

19 claims · 0.0%

Your Cost: $37.84/claim|Median: $25.29
1.5× median
80053Normal range

Comprehensive metabolic panel

$710

118 claims · 0.0%

Your Cost: $6.02/claim|Median: $7.24
0.8× median

Other Top Providers in Oregon

View all →

Trillium Family Services Inc.

Residential Treatment Facility Emotionally Distur

$154.5M

Byram Healthcare Centers, Inc.

Durable Medical Equipment & Medical Supplies

$123.9M

Similar Providers

Other top providers in Clinic/Center

Children's Hospital Corporation

Boston, MA

$330.8M

County of Santa Cruz

Santa Cruz, CA

$276.3M

Northern Valley Indian Health INC

Willows, CA

$217.1M

Upmc Presbyterian Shadyside

Pittsburgh, PA

$125.5M

← All providersAll providers in Oregon →How we detect fraud →