NPI: 1659757433 · PORTLAND, OR 97266 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,551 | $63K |
| 2019 | 11,764 | $62K |
| 2020 | 3,468 | $23K |
| 2021 | 844 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 2,791 | 2,782 | $29K | |
| D0210 | 1,052 | 1,049 | $17K | |
| D2392 | 1,115 | 814 | $16K | |
| D0150 | 1,404 | 1,400 | $15K | |
| D1206 | 2,870 | 2,859 | $13K | |
| D2391 | 980 | 700 | $12K | |
| D0140 | 1,082 | 1,053 | $9K | |
| D4341 | 493 | 208 | $9K | |
| D1120 | 430 | 428 | $5K | |
| D0120 | 1,257 | 1,255 | $5K | |
| D0274 | 1,702 | 1,697 | $4K | |
| D2393 | 270 | 244 | $4K | |
| D4910 | 251 | 249 | $3K | |
| D0220 | 1,221 | 1,194 | $3K | |
| D4342 | 179 | 92 | $3K | |
| D0330 | 1,118 | 1,113 | $2K | |
| D7140 | 52 | 33 | $1K | |
| D0270 | 304 | 302 | $770.00 | |
| D2332 | 24 | 12 | $594.00 | |
| D0230 | 597 | 415 | $477.00 | |
| D2331 | 39 | 28 | $465.00 | |
| D0602 | 58 | 58 | $352.00 | |
| D0180 | 45 | 45 | $294.00 | |
| D2330 | 36 | 27 | $254.00 | |
| D1351 | 105 | 27 | $245.00 | |
| D0272 | 52 | 52 | $220.00 | |
| D0603 | 29 | 28 | $154.00 | |
| D5411 | 31 | 25 | $150.00 | |
| D0191 | 34 | 34 | $144.00 | |
| D9995 | 212 | 210 | $131.00 | |
| D0601 | 15 | 15 | $77.00 | |
| D1354 | 137 | 25 | $56.00 | |
| D1310 | 4,400 | 4,329 | $0.00 | |
| D1330 | 5,215 | 5,049 | $0.00 | |
| D9215 | 15 | 12 | $0.00 | |
| D5410 | 12 | 12 | $0.00 |