SAVAGE CLASSY INC
NPI: 1497428379
· TUALATIN, OR 97062
· Clinical Medical Laboratory
· NPI assigned 07/27/2021
$149.48
Total Medicaid Paid
Provider Details
| Authorized Official | DRYDEN, HEATHER (LABORTATORY DIRECTOR) |
| NPI Enumeration Date | 07/27/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
262 |
$149.48 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
Collection of venous blood by venipuncture |
92 |
70 |
$92.70 |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
16 |
12 |
$56.78 |
| 99070 |
|
77 |
57 |
$0.00 |
| 99000 |
|
77 |
57 |
$0.00 |