CENTENNIAL MEDICAL GROUP EAST, LLC
NPI: 1699103598
· MYRTLE CREEK, OR 97457
· Family Medicine Physician
· NPI assigned 10/31/2013
Provider Details
| Authorized Official | TYREE, KIM (COO) |
| Parent Organization | CENTENNIAL MEDICAL GROUP DBA EVERGREEN FAMILY MEDICINE SOUTH |
| NPI Enumeration Date | 10/31/2013 |
Related Entities
Other providers sharing the same authorized official: TYREE, KIM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
494 |
$11K |
| 2019 |
1,374 |
$53K |
| 2020 |
132 |
$2K |
| 2021 |
100 |
$1K |
| 2022 |
131 |
$2K |
| 2024 |
30 |
$0.00 |
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 |
1,126 |
883 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,000 |
756 |
$34K |
| 90686 |
|
92 |
91 |
$742.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
29 |
$316.94 |
| 96127 |
|
13 |
12 |
$41.84 |