Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OR › PORTLAND › NORTHWEST IV, LLC

NORTHWEST IV, LLC

NPI: 1023596541 · PORTLAND, OR 97222 · 207L00000X

$695K
Total Medicaid Paid
5,723
Total Claims
3,007
Beneficiaries
6
Codes Billed
2022-06
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 242 $19K
2023 1,629 $101K
2024 3,852 $575K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0013 Esketamine, nasal spray 353 164 $359K
99215 Prolong outpt/office vis 1,339 715 $176K
99417 Prolong home eval add 15m 1,059 547 $125K
99214 217 142 $14K
96127 2,643 1,363 $11K
90833 112 76 $10K