NORTHWEST IV, LLC
NPI: 1023596541
· PORTLAND, OR 97222
· Anesthesiology Physician
· NPI assigned 08/06/2018
$695K
Total Medicaid Paid
Provider Details
| Authorized Official | PERRY, JOHN (MANAGING DIRECTOR) |
| NPI Enumeration Date | 08/06/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
242 |
$19K |
| 2023 |
1,629 |
$101K |
| 2024 |
3,852 |
$575K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0013 |
Esketamine, nasal spray, 1 mg |
353 |
164 |
$359K |
| 99215 |
Prolong outpt/office vis |
1,339 |
715 |
$176K |
| 99417 |
Prolong home eval add 15m |
1,059 |
547 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
217 |
142 |
$14K |
| 96127 |
|
2,643 |
1,363 |
$11K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
112 |
76 |
$10K |