NPI: 1023695830 · PORTLAND, OR 97212 · Multi-Specialty Clinic/Center · NPI assigned 03/26/2021
| Authorized Official | BONNEVAL, AIMEE (OWNER) |
| NPI Enumeration Date | 03/26/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 933 | $74K |
| 2023 | 1,174 | $117K |
| 2024 | 1,884 | $168K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99215 | Prolong outpt/office vis | 1,241 | 995 | $196K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,133 | 872 | $129K |
| 97810 | 530 | 350 | $16K | |
| 97811 | 470 | 312 | $11K | |
| 98926 | 97 | 78 | $4K | |
| 99072 | 470 | 321 | $2K | |
| 98927 | 16 | 12 | $818.40 | |
| 99417 | Prolong home eval add 15m | 34 | 32 | $764.25 |