Medicaid Provider Spending

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

SPORTS HEALTH NORTHWEST INC

NPI: 1346863727 · PORTLAND, OR 97229 · Sports Medicine (Family Medicine) Physician · NPI assigned 05/20/2020

$5K
Total Medicaid Paid
127
Total Claims
116
Beneficiaries
3
Codes Billed
2021-04
First Month
2023-07
Last Month

Provider Details

Authorized OfficialWESTERDAHL, DAVID (OWNER)
NPI Enumeration Date05/20/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 27 $95.00
2022 57 $2K
2023 43 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 70 63 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14 13 $1K
99072 43 40 $143.65