Medicaid Provider Spending

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

SANTIAM MEMORIAL HOSPITAL

NPI: 1205048097 · MILL CITY, OR 97360 · Family Medicine Physician · NPI assigned 05/04/2007

$1K
Total Medicaid Paid
1,157
Total Claims
796
Beneficiaries
7
Codes Billed
2020-04
First Month
2021-08
Last Month

Provider Details

Authorized OfficialWADDLE, SHANNON (OFFICE MANAGER)
NPI Enumeration Date05/04/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 172 $1K
2021 985 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 169 149 $1K
90686 15 13 $306.19
3078F 155 95 $0.00
3008F 264 166 $0.00
3074F 184 110 $0.00
1036F 202 122 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 168 141 $0.00