NORTHWEST PEDIATRIC GASTROENTEROLOGY, LLC
NPI: 1548467129
· PORTLAND, OR 97227
· Specialist
· NPI assigned 06/28/2007
$201K
Total Medicaid Paid
Provider Details
| Authorized Official | SCHULZ, DEBRA (CLINIC MANAGER) |
| NPI Enumeration Date | 06/28/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,883 |
$201K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
984 |
952 |
$87K |
| 99215 |
Prolong outpt/office vis |
625 |
597 |
$72K |
| 99205 |
Prolong outpt/office vis |
119 |
114 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
128 |
127 |
$18K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
27 |
26 |
$3K |