Providers
All 14 in OR
HOANG Q NGUYEN, MD
NPI 1013979533, individual, Portland, OR, Internal Medicine
5
Evidence tier
informational
score 30 of 100, rank 11401, $260K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | HOANG Q NGUYEN, MD |
| Type | Individual |
| Status | Active |
| NPI issued | April 3, 2006, last updated October 9, 2009 |
| Practice location | 3202 SE 82ND AVE, Portland, OR 97266-2004, 503-777-5995 |
| Specialties | Internal Medicine (207R00000X, primary, license MD25723 OR) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $993K | 35% | $60 | $44 (top 5% from $110) | 72nd percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $435K | 16% | $70 | $60 (top 5% from $133) | 61st percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $264K | 9% | $96 | $67 (top 5% from $121) | 85th percentile | |
| 99396 | Medicaid service code | $149K | 5% | $120 | $70 (top 5% from $132) | 90th percentile | |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | $122K | 4% | $35 | $21 (top 5% from $104) | 64th percentile | |
| 99072 | Medicaid service code | $120K | 4% | $7.29 | $0.00 (top 5% from $11) | 91st percentile | |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | $98K | 4% | $43 | $44 (top 5% from $70) | 46th percentile | |
| 90471 | Administration of vaccine | $69K | 2% | $20 | $10 (top 5% from $23) | 90th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 380 | 171 | $32K | $270 | $132 | 2.0x | 2.3x (90th percentile 3.8x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 388 | 201 | $22K | $230 | $97 | 2.4x | 2.2x (90th percentile 3.8x) |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 103 | 103 | $15K | $197 | $144 | 1.4x | 2.3x (90th percentile 4.1x) |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 29 | 29 | $5K | $264 | $183 | 1.4x | 2.1x (90th percentile 3.2x) |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 64 | 64 | $4K | $280 | $119 | 2.3x | 2.4x (90th percentile 3.9x) |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 26 | 25 | $3K | $393 | $180 | 2.2x | 2.4x (90th percentile 3.9x) |
| 90653 | Influenza vaccine, inactivated | 32 | 32 | $3K | $90 | $82 | 1.1x | 1.1x (90th percentile 2.0x) |
| 36415 | Insertion of needle into vein for collection of blood sample | 304 | 172 | $3K | $25 | $9 | 2.9x | 2.0x (90th percentile 3.5x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
14 providers in Multnomah County, OR carry an indicator in the public record, with $4.3M at stake between them. The most common is part of a provider network, on 7 of them, followed by more hours than a day holds on 6. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | JENNIFER JABLIN Portland, OR, ranked 102 | $264K |
|
| 3 | WESTERN HEALTH RESOURCES Portland, OR, ranked 1454 | $34K |
|
| 3 | TRADITIONS HOSPICE OF PORTLAND, LLC Portland, OR, ranked 1489 | $22K |
|
| 3 | WEST HILLS CONVALESCENT CENTER LIMITED PARTNERSHIP Portland, OR, ranked 2938 | $0 |
|
| 3 | WARM SPRINGS HOME HEALTH CARE INC Portland, OR, ranked 3840 | $0 |
|
| 3 | WESTERN HEALTH RESOURCES Portland, OR, ranked 4477 | $0 |
|
| 3 | PINNACLE HOSPICE CARE INC Portland, OR, ranked 4577 | $0 |
|
| 3 | ROSE CITY HOME HEALTH CARE INC Portland, OR, ranked 6121 | $0 |
|
Recent enforcement in OR
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJChargedJun 23, 2026
Two Charged in the District of Oregon as Part of the National Health Care Fraud Takedown
Two defendants were charged with health care fraud for submitting claims for genetic testing that was never provided to Medicare Advantage plans and for sleep tests billed as conducted in office when they were done at home or not at all.
DOJComplaint filedMar 24, 2026
Pakistani National Residing in Southern California Charged with Fraudulently Billing Medicare Plans
The owner of Oregon Clinical Laboratory allegedly participated in a scheme to fraudulently bill Medicare Advantage insurance plans for laboratory testing services never performed, submitting more than $46 million in claims.
DOJIndictedJan 26, 2026
Oregon Mother and Daughter Facing New Charges Related to Forced Labor and Health Care Fraud
A superseding indictment alleges the owners of an adult foster care home coerced the labor of three victims for little or no pay while requesting and receiving Medicaid and ODHS "exceptional payments" for additional paid employee hours, lying about the victims' residence in the home, and falsifying a disability claim so one defendant could be paid hourly as a Homecare Worker.
DOJIndictedJan 26, 2026
Oregon Mother and Daughter Facing New Charges Related to Forced Labor and Health Care Fraud
A superseding indictment alleges the owners of an adult foster care home coerced the labor of three victims for little or no pay while requesting and receiving Medicaid and Oregon Department of Human Services "exceptional payments" for additional employee hours, lying about the victims' residence in the home, and falsifying a disability claim so one defendant could be paid hourly as a Homecare Worker.
DOJCivil settlementJul 1, 2025
U.S. Attorney’s Office Participates in National Health Care Fraud Takedown Resulting in $2 Million Civil Settlement
Riverpark allegedly billed Medicare and Oregon Medicaid for grossly substandard nursing home services when staffing levels did not meet minimum staffing requirements, resulting in residents experiencing increased instances and severity of preventable urinary tract infections, pressure sores, and falls.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.