FAMILY WALK IN MEDICAL CENTER, PC
NPI: 1194992305
· PORTLAND, OR 97229
· Family Medicine Physician
· NPI assigned 05/15/2008
$147K
Total Medicaid Paid
Provider Details
| Authorized Official | HASAN, SHAGUFTA (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 05/15/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,375 |
$88K |
| 2019 |
831 |
$53K |
| 2020 |
104 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,590 |
1,273 |
$125K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
346 |
297 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
75 |
$1K |
| 90658 |
|
65 |
65 |
$890.49 |
| 36415 |
Collection of venous blood by venipuncture |
232 |
219 |
$357.11 |