CENTENNIAL SCHOOL DISTRICT 28 302JT
NPI: 1104905314
· PORTLAND, OR 97220
· Local Education Agency (LEA)
· NPI assigned 11/06/2006
$430K
Total Medicaid Paid
Provider Details
| Authorized Official | FAJER, DAVE (DIRECTOR OF BUSINESS SERVICES) |
| NPI Enumeration Date | 11/06/2006 |
Related Entities
Other providers sharing the same authorized official: FAJER, DAVE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,816 |
$37K |
| 2019 |
3,165 |
$109K |
| 2020 |
1,186 |
$42K |
| 2021 |
535 |
$29K |
| 2022 |
925 |
$90K |
| 2023 |
1,407 |
$81K |
| 2024 |
820 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1018 |
School-based individualized education program (iep) services, bundled |
3,634 |
1,461 |
$318K |
| 92508 |
Group treatment of speech, language, voice, communication, and/or auditory processing disorder |
3,623 |
1,556 |
$52K |
| T2003 |
Non-emergency transportation; encounter/trip |
1,633 |
468 |
$38K |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
864 |
513 |
$19K |
| G9007 |
Coordinated care fee, scheduled team conference |
100 |
82 |
$3K |