Medicaid Provider Spending

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

CENTENNIAL MEDICAL GROUP EAST, LLC

NPI: 1164124111 · SUTHERLIN, OR 97479 · Family Medicine Physician · NPI assigned 03/21/2023

$510K
Total Medicaid Paid
9,707
Total Claims
8,389
Beneficiaries
16
Codes Billed
2023-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTYREE, KIMBERLY (CHIEF OPERATING OFFICER)
Parent OrganizationCENTENNIAL MEDICAL GROUP EAST, LLC
NPI Enumeration Date03/21/2023

Related Entities

Other providers sharing the same authorized official: TYREE, KIMBERLY

ProviderCityStateTotal Paid
CENTENNIAL MEDICAL GROUP EAST, LLC ROSEBURG OR $101K
CENTENNIAL MEDICAL GROUP EAST, LLC ROSEBURG OR $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 2,478 $109K
2024 7,229 $402K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,308 3,822 $257K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,316 2,838 $243K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 388 173 $3K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 60 51 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 206 177 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 12 $1K
99490 Ccm add 20min 14 12 $558.54
81003 290 276 $359.98
81025 42 40 $205.02
96127 72 64 $187.10
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16 15 $128.55
96160 275 263 $39.70
G0444 Annual depression screening, 5 to 15 minutes 105 101 $0.33
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 130 127 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 185 162 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 287 256 $0.00