CENTENNIAL MEDICAL GROUP EAST, LLC
NPI: 1235688805
· ROSEBURG, OR 97471
· Family Medicine Physician
· NPI assigned 09/23/2016
Provider Details
| Authorized Official | TYREE, KIM (COO) |
| NPI Enumeration Date | 09/23/2016 |
Related Entities
Other providers sharing the same authorized official: TYREE, KIM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
53 |
$616.31 |
| 2020 |
36 |
$112.57 |
| 2021 |
14 |
$162.91 |
| 2023 |
92 |
$5K |
| 2024 |
108 |
$623.42 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
33 |
12 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
169 |
130 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$1K |
| 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 |
89 |
62 |
$58.60 |