Physician
Illumination Rock Integrative Medicine, LLC
Illumination Rock Integrative Medicine, LLC was paid $66K by Medicaid between Feb 2021 and Oct 2024, across 6 billing codes. Its largest line is 97811, — 33% of everything it billed.
33Billing provider infoILLUMINATION ROCK INTEGRATIVE MEDICINE, LLC
PORTLAND, OR 97206
PORTLAND, OR 97206
33aNPI1356905855assigned 04/30/2019
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$66K
24GClaims2,782
24DCodes billed6
24AFirst – last monthFeb 2021 – Oct 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 1,087 | $23K | |
| 2022 | 598 | $13K | |
| 2023 | 959 | $27K | |
| 2024incomplete | 138 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97811 | 33% | 851 | 465 | $22K | |
| 97810 | 33% | 836 | 467 | $22K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 24% | 723 | 405 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10.0% | 155 | 113 | $7K |
| 99072 | <1% | 194 | 119 | $316.95 | |
| 97010 | <1% | 23 | 12 | $6.09 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialISAKSON, KIRSTEN (MANAGING MEMBER)