Medicaid Provider Spending

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

PACIFIC MEDICAL GROUP, PC

NPI: 1477636561 · LAKE OSWEGO, OR 97035 · Clinic/Center · NPI assigned 10/23/2006

$22K
Total Medicaid Paid
352
Total Claims
304
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialCLACK, SUSAN (CEO)
NPI Enumeration Date10/23/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 352 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 199 167 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 126 112 $8K
36415 Collection of venous blood by venipuncture 27 25 $43.21