BRISTOL ADVANCED ILLNESS MANAGEMENT - OREGON, L.L.C.
NPI: 1083364749
· SPRINGFIELD, OR 97477
· Hospice and Palliative Medicine (Internal Medicine) Physician
· NPI assigned 03/25/2022
$381.90
Total Medicaid Paid
Provider Details
| Authorized Official | EDMONDS, MATTHEW (SOLE MEMBER) |
| NPI Enumeration Date | 03/25/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
24 |
$62.14 |
| 2023 |
86 |
$319.76 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99350 |
Prolong home eval add 15m |
25 |
18 |
$197.53 |
| 99497 |
|
85 |
57 |
$184.37 |