FANNO CREEK CLINIC LLC
NPI: 1609876705
· PORTLAND, OR 97219
· Internal Medicine Physician
· NPI assigned 07/29/2005
Provider Details
| Authorized Official | REED, LARRY (CLINIC MANAGER) |
| NPI Enumeration Date | 07/29/2005 |
Related Entities
Other providers sharing the same authorized official: REED, LARRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
368 |
$16K |
| 2019 |
18 |
$627.09 |
| 2021 |
85 |
$3K |
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 |
145 |
111 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34 |
30 |
$3K |
| 0011A |
|
35 |
26 |
$880.00 |
| 0012A |
|
18 |
15 |
$400.00 |
| 83721 |
|
28 |
26 |
$173.13 |
| 80061 |
Lipid panel |
14 |
14 |
$127.31 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17 |
17 |
$81.31 |
| 36415 |
Collection of venous blood by venipuncture |
50 |
46 |
$71.40 |
| 84460 |
|
17 |
17 |
$55.48 |
| 84450 |
|
17 |
17 |
$54.17 |
| 82565 |
|
17 |
17 |
$53.63 |
| 84295 |
|
17 |
17 |
$50.36 |
| 84132 |
|
17 |
17 |
$48.18 |
| 84075 |
|
14 |
14 |
$44.23 |
| 84520 |
|
17 |
17 |
$41.32 |
| 82947 |
|
14 |
14 |
$33.56 |