JOEL AMUNDSON MD PC
NPI: 1558548529
· PORTLAND, OR 97211
· Pediatrics Physician
· NPI assigned 01/22/2008
$829.84
Total Medicaid Paid
Provider Details
| Authorized Official | AMUNDSON, JOEL (PROVIDER OWNER) |
| NPI Enumeration Date | 01/22/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
25 |
$480.00 |
| 2022 |
24 |
$349.84 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0072A |
|
12 |
12 |
$480.00 |
| 90686 |
|
12 |
12 |
$205.30 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$144.54 |
| 91307 |
|
13 |
13 |
$0.00 |