BRUCE RAMSEY, MD

NPI 1275594616, individual, Corvallis, OR, Internal Medicine

Evidence tier

structure or single-organization volume

Hours beyond a day in 1 month, but with up to 16 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
Records needed.
Medicaid dollars per patient on code 99233 ($258 per patient-month) sit in the top 5% of every provider billing that code.

score 53 of 100, rank 8130, $22K at stake

Hours billed per day

Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.

month	what was found	hours per day, lower bound	hours per day, at price	hours per day, conservative	per working day	patients	billing organizations	codes	paid
May 2019	More hours than a day holds, even counting one unit per claim line	28.5	15.6	10.4	14.0	12	1	99233	$22K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	BRUCE RAMSEY, MD
Type	Individual
Status	Active
NPI issued	March 28, 2006, last updated May 14, 2021
Practice location	3600 NW SAMARITAN DR, Corvallis, OR 97330-3737, 541-768-5111
Mailing address	PO BOX 1189, Corvallis, OR 97339-1189
Specialties	Internal Medicine (207R00000X, primary, license MD21327 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
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	$47K	100%	$258	$96 (top 5% from $249)	96th 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
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	284	97	$26K	$271	$113	2.4x	2.6x (90th percentile 4.7x)
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	247	33	$15K	$188	$75	2.5x	2.6x (90th percentile 4.3x)
99239	Hospital discharge day management, more than 30 minutes	69	66	$6K	$279	$110	2.5x	2.8x (90th percentile 5.6x)
99291	Critical care, first 30-74 minutes	20	13	$3K	$1K	$202	5.1x	4.7x (90th percentile 10.0x)
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$2K	$527	$165	3.2x	3.0x (90th percentile 5.6x)

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

33 providers in OR carry an indicator in the public record, with $12.0M at stake between them. The most common is part of a provider network, on 16 of them, followed by more hours than a day holds on 9. 5 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	JENNIFER JABLIN Portland, OR, ranked 102	$264K	Listed on the CA Medicaid exclusion list since March 3, 2023. Medicaid still paid claims in 18 later months, $264,374 in total.
1	COASTAL DIAGNOSTIC TESTING GROUP INC Coos Bay, OR, ranked 125	$141K	Adjudicated (charged, pleaded guilty) per a Department of Justice release and an HHS-OIG enforcement record dated June 23, 2026. Medicaid paid $140,676 in the last 12 observed months.
1	GARY YOUNG Eugene, OR, ranked 362	$2K	Listed on the CA Medicaid exclusion list since February 28, 2020. Medicaid still paid claims in 1 later month, $2,259 in total.
1	JERRY CRUM Hermiston, OR, ranked 429	$252	Listed on the CA Medicaid exclusion list since May 26, 2022. Medicaid still paid claims in 1 later month, $252 in total.
1	DARLA BYUS Prineville, OR, ranked 581	$0	Adjudicated (sentenced) per a Department of Justice release dated September 24, 2024. No Medicaid payments in the last 12 observed months.
3	AIDEN HEALTHCARE LLC Portland, OR, ranked 935	$3.8M	Part of provider network D1-00031, ranked 31 nationally.
3	AGAPE HOSPICE & PALLIATIVE CARE NW, LLC Portland, OR, ranked 999	$1.5M	Part of provider network D1-00037, ranked 37 nationally.
3	WESTERN HEALTH RESOURCES Portland, OR, ranked 1454	$34K	Part of provider network D1-00071, ranked 71 nationally.

All 33 in OR

Recent enforcement in OR

All releases

Department 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

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