Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SELLWOOD MEDICAL CLINIC PC

NPI: 1083686554 · PORTLAND, OR 97202 · Cardiovascular Disease Physician · NPI assigned 02/07/2006

$134K
Total Medicaid Paid
2,937
Total Claims
2,651
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialMUNOZ, MORGAN (BUSINESS OFFICE SUPERVISOR)
NPI Enumeration Date02/07/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,245 $88K
2019 269 $13K
2020 148 $7K
2021 789 $17K
2022 344 $6K
2023 116 $1K
2024 26 $857.98

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 861 780 $63K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 389 339 $38K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 62 57 $7K
0071A 189 174 $6K
0072A 130 124 $5K
90686 203 202 $4K
90688 123 122 $2K
0002A 57 48 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 47 41 $2K
0001A 40 33 $1K
0003A 22 18 $689.20
0073A 25 21 $640.00
90685 29 29 $636.84
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 76 75 $453.80
80061 Lipid panel 42 40 $432.00
0111A 18 13 $400.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 18 13 $271.32
99072 61 52 $195.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 13 12 $127.68
96127 12 12 $35.26
81002 14 14 $24.46
91307 274 254 $0.21
91311 32 24 $0.07
91300 37 35 $0.04
90460 Immunization administration through 18 years of age via any route, first or only component 74 34 $0.00
3078F 12 12 $0.00
90461 22 18 $0.00
3008F 43 43 $0.00
3074F 12 12 $0.00