Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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CENTENNIAL MEDICAL GROUP EAST, LLC

NPI: 1134436637 · ROSEBURG, OR 97471 · Emergency Medicine Physician · NPI assigned 09/03/2010

$4K
Total Medicaid Paid
69
Total Claims
69
Beneficiaries
2
Codes Billed
2018-12
First Month
2018-12
Last Month

Provider Details

Authorized OfficialTYREE, KIMBERLY (COO)
Parent OrganizationCENTENNIAL MEDICAL GROUP, INC.
NPI Enumeration Date09/03/2010

Related Entities

Other providers sharing the same authorized official: TYREE, KIMBERLY

ProviderCityStateTotal Paid
CENTENNIAL MEDICAL GROUP EAST, LLC SUTHERLIN OR $510K
CENTENNIAL MEDICAL GROUP EAST, LLC ROSEBURG OR $101K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 57 57 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 12 12 $113.74