NPI: 1710910781 · DALLAS, OR 97338 · 171M00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 616 | $89K |
| 2019 | 652 | $55K |
| 2020 | 141 | $2K |
| 2021 | 128 | $18K |
| 2022 | 246 | $22K |
| 2023 | 125 | $2K |
| 2024 | 249 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1017 | Targeted case management | 430 | 373 | $141K |
| 99214 | 148 | 139 | $16K | |
| 90792 | 66 | 66 | $12K | |
| T1015 | Clinic service | 52 | 52 | $7K |
| 99215 | Prolong outpt/office vis | 32 | 32 | $4K |
| 90686 | 330 | 313 | $3K | |
| 90633 | 128 | 125 | $2K | |
| 90651 | 35 | 35 | $2K | |
| 90715 | 111 | 111 | $2K | |
| 90670 | 70 | 70 | $2K | |
| 90833 | 29 | 25 | $2K | |
| 90471 | 332 | 312 | $1K | |
| 90647 | 40 | 40 | $878.40 | |
| 90688 | 55 | 51 | $717.48 | |
| 90707 | 29 | 29 | $670.90 | |
| 90713 | 27 | 27 | $544.56 | |
| 90723 | 12 | 12 | $263.52 | |
| 90716 | 13 | 13 | $219.60 | |
| 90472 | 79 | 78 | $90.90 | |
| T1016 | Case management | 126 | 73 | $0.00 |
| 90710 | 13 | 13 | $0.00 |