NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
NPI: 1053873919
· SHERIDAN, OR 97378
· Critical Access Hospital
· NPI assigned 04/01/2019
$87.98
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, MICAH (FINANCE OFFICER) |
| Parent Organization | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK |
| NPI Enumeration Date | 04/01/2019 |
Related Entities
Other providers sharing the same authorized official: SMITH, MICAH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
20 |
$87.98 |
| 2023 |
28 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
12 |
$87.98 |
| 1160F |
|
14 |
13 |
$0.00 |
| 1159F |
|
14 |
13 |
$0.00 |