Physician
Centennial Medical Group East, LLC
Centennial Medical Group East, LLC was paid $510K by Medicaid between Jun 2023 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoCENTENNIAL MEDICAL GROUP EAST, LLC
SUTHERLIN, OR 97479
SUTHERLIN, OR 97479
33aNPI1164124111assigned 03/21/2023
33bProvider typeFamily Medicine Physician
28Total paid$510K
24GClaims9,707
24DCodes billed16
24AFirst – last monthJun 2023 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Oregon
Rank by total paid#37 of 208
Median peer was paid$49K
This provider vs. median10×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 2,478 | $109K | |
| 2024incomplete | 7,229 | $402K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 50% | 4,308 | 3,822 | $257K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 48% | 3,316 | 2,838 | $243K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 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 | <1% | 60 | 51 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 206 | 177 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 12 | $1K |
| 99490 | Ccm add 20min | <1% | 14 | 12 | $558.54 |
| 81003 | <1% | 290 | 276 | $359.98 | |
| 81025 | <1% | 42 | 40 | $205.02 | |
| 96127 | <1% | 72 | 64 | $187.10 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | 15 | $128.55 |
| 96160 | <1% | 275 | 263 | $39.70 |
4 more codes
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 105 | $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 | 0% | 130 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 185 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 287 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialTYREE, KIMBERLY (CHIEF OPERATING OFFICER)
Parent organizationCENTENNIAL MEDICAL GROUP EAST, LLC
| Provider | Location | Paid |
|---|---|---|
| Centennial Medical Group East, LLC | Roseburg, OR | $101K |
| Centennial Medical Group East, LLC | Roseburg, OR | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.