Medicaid Provider Spending

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

CANYON CREEK CLINIC

NPI: 1356952048 · JOHN DAY, OR 97845 · Primary Care Clinic/Center · NPI assigned 08/14/2020

$86K
Total Medicaid Paid
2,234
Total Claims
1,856
Beneficiaries
11
Codes Billed
2021-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCLARK, SHAWNA (PRESIDENT)
NPI Enumeration Date08/14/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 856 $31K
2022 761 $29K
2023 344 $16K
2024 273 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,030 865 $61K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 408 306 $16K
99215 Prolong outpt/office vis 24 24 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 52 38 $2K
99205 Prolong outpt/office vis 14 12 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 125 91 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 12 $1K
36415 Collection of venous blood by venipuncture 395 358 $946.12
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 13 $735.15
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 74 57 $533.82
96160 85 80 $232.04