SANTA CLARA MEDICAL CLINIC, P.C.
NPI: 1598878522
· EUGENE, OR 97404
· Family Medicine Physician
· NPI assigned 08/16/2006
$186K
Total Medicaid Paid
Provider Details
| Authorized Official | HOUSE, THERESA (PHYSICIAN/SECRETARY) |
| NPI Enumeration Date | 08/16/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,942 |
$124K |
| 2019 |
3,987 |
$62K |
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 |
1,766 |
1,508 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
892 |
789 |
$45K |
| 99215 |
Prolong outpt/office vis |
146 |
131 |
$14K |
| 90688 |
|
157 |
140 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
102 |
89 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$1K |
| 99401 |
|
19 |
16 |
$462.06 |
| 96160 |
|
33 |
29 |
$98.73 |
| 3079F |
|
282 |
253 |
$0.00 |
| 3074F |
|
1,553 |
1,337 |
$0.00 |
| 1036F |
|
1,929 |
1,596 |
$0.00 |
| 3008F |
|
2,293 |
1,935 |
$0.00 |
| 1034F |
|
87 |
81 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 3075F |
|
43 |
40 |
$0.00 |
| 1159F |
|
925 |
805 |
$0.00 |
| 1160F |
|
371 |
306 |
$0.00 |
| 3078F |
|
1,290 |
1,101 |
$0.00 |
| 3077F |
|
15 |
14 |
$0.00 |