GLENDALE COMMUNITY PRIMARY CARE
NPI: 1114480399
· GLENDALE, OR 97442
· Primary Care Clinic/Center
· NPI assigned 04/13/2019
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | ANDERSON, LEONA (PRESIDENT) |
| NPI Enumeration Date | 04/13/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
38 |
$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 |
22 |
14 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
14 |
$0.00 |