Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1588981963 · TIGARD, OR 97224 · Clinic/Center · NPI assigned 04/26/2010

$3K
Total Medicaid Paid
76
Total Claims
74
Beneficiaries
4
Codes Billed
2020-05
First Month
2023-04
Last Month

Provider Details

Authorized OfficialFREEMAN, KEENAN (CFO)
NPI Enumeration Date04/26/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 38 $218.63
2021 12 $1K
2023 26 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 12 $2K
99215 Prolong outpt/office vis 12 12 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 38 37 $218.63
H0049 Alcohol and/or drug screening 13 13 $0.00