Medicaid Provider Spending

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

DAVIES CLINIC, PC

NPI: 1669679932 · CANBY, OR 97013 · Family Medicine Physician · NPI assigned 06/29/2007

$177K
Total Medicaid Paid
3,243
Total Claims
2,891
Beneficiaries
8
Codes Billed
2018-01
First Month
2023-03
Last Month

Provider Details

Authorized OfficialBRIDGEMAN, DEONA (PRESIDENT)
NPI Enumeration Date06/29/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,064 $49K
2019 607 $33K
2020 515 $28K
2021 369 $21K
2022 563 $37K
2023 125 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,280 1,138 $98K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,419 1,248 $76K
80305 293 264 $2K
90688 69 67 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16 15 $300.96
36415 Collection of venous blood by venipuncture 136 130 $189.68
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 16 16 $0.14
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 14 13 $0.00