Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OR › PORTLAND › ANCIENT FERN MEDICINE

ANCIENT FERN MEDICINE

NPI: 1053763466 · PORTLAND, OR 97232 · Acupuncturist · NPI assigned 07/08/2016

$26K
Total Medicaid Paid
1,140
Total Claims
494
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-05
Last Month

Provider Details

Authorized OfficialNELSON, TIMOTHY (OWNER)
NPI Enumeration Date07/08/2016

Related Entities

Other providers sharing the same authorized official: NELSON, TIMOTHY

ProviderCityStateTotal Paid
GENERAL ANESTHESIA SERVICES INC CHARLESTON WV $4.29M
NELSON NELSON NELSON OD INC WATONGA OK $41K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 940 $21K
2019 200 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97810 563 241 $14K
97811 563 240 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 13 $718.93