Medicaid Provider Spending

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

EASTSIDE ORTHOPEDICS & SPORTS MEDICINE, LLC

NPI: 1225567928 · MILWAUKIE, OR 97222 · Orthopaedic Foot and Ankle Surgery Physician · NPI assigned 06/06/2017

$8K
Total Medicaid Paid
141
Total Claims
132
Beneficiaries
3
Codes Billed
2018-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialROBERTS, ANGELA (PRACTICE MANAGER)
NPI Enumeration Date06/06/2017

Related Entities

Other providers sharing the same authorized official: ROBERTS, ANGELA

ProviderCityStateTotal Paid
ANSAB KHWAJA MD PC MILWAUKIE OR $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 45 $2K
2019 84 $5K
2024 12 $650.42

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 113 104 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 16 $994.22