Medicaid Provider Spending

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

NORTHWEST PAIN INSTITUTE

NPI: 1427674324 · FOREST GROVE, OR 97116 · Clinic/Center · NPI assigned 06/17/2020

$72K
Total Medicaid Paid
3,209
Total Claims
2,493
Beneficiaries
12
Codes Billed
2021-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJORGENSEN, TREVOR (MD/OWNER)
NPI Enumeration Date06/17/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 499 $12K
2022 814 $28K
2023 1,134 $19K
2024 762 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,483 1,188 $38K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 868 661 $31K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 54 40 $3K
99152 15 12 $52.26
80305 19 14 $35.44
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 136 112 $11.60
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 82 68 $10.66
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 50 32 $0.00
G8539 Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment 26 13 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 56 41 $0.00
1036F 239 179 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 181 133 $0.00