Medicaid Provider Spending

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

PORTLAND MEDICAL

NPI: 1679230510 · PORTLAND, TN 37148 · Health Service Clinic/Center · NPI assigned 11/28/2021

$21K
Total Medicaid Paid
826
Total Claims
654
Beneficiaries
5
Codes Billed
2022-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNAZARENUS, LISA (APN)
NPI Enumeration Date11/28/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 174 $3K
2023 407 $11K
2024 245 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 681 542 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 79 65 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 33 23 $612.58
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 18 12 $277.06
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15 12 $96.41