NPI: 1063576908 · COOS BAY, OR 97420 · 171M00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,898 | $559K |
| 2019 | 2,230 | $581K |
| 2020 | 1,335 | $481K |
| 2021 | 2,241 | $310K |
| 2022 | 1,383 | $326K |
| 2023 | 1,275 | $485K |
| 2024 | 1,003 | $457K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1017 | Targeted case management | 7,349 | 3,728 | $3.04M |
| T1015 | Clinic service | 933 | 836 | $105K |
| 0064A | 489 | 402 | $10K | |
| 0012A | 308 | 255 | $5K | |
| 0011A | 376 | 308 | $4K | |
| 0001A | 112 | 108 | $4K | |
| 0071A | 71 | 69 | $3K | |
| 0004A | 208 | 150 | $3K | |
| 0072A | 61 | 60 | $2K | |
| 90715 | 102 | 91 | $2K | |
| 90688 | 185 | 158 | $2K | |
| 0031A | 91 | 79 | $2K | |
| 0002A | 64 | 60 | $2K | |
| 91322 | 76 | 49 | $2K | |
| 0124A | 129 | 97 | $1K | |
| S4993 | Contraceptive pills for bc | 153 | 123 | $1K |
| 0134A | 43 | 39 | $1K | |
| 90471 | 85 | 80 | $1K | |
| J1050 | Medroxyprogesterone acetate | 68 | 65 | $986.60 |
| S4930 | 105 | 105 | $965.43 | |
| 90633 | 39 | 37 | $812.52 | |
| 90480 | 74 | 47 | $600.00 | |
| 90707 | 33 | 27 | $570.96 | |
| 0003A | 87 | 54 | $440.00 | |
| 81025 | 29 | 27 | $156.80 | |
| 87801 | 12 | 12 | $149.05 | |
| G0008 | Admin influenza virus vac | 24 | 14 | $0.00 |
| 91301 | 59 | 59 | $0.00 |