Medicaid Provider Spending

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

PORTLAND PRIMARY CARE LLC

NPI: 1720034226 · PORTLAND, TN 37148 · Internal Medicine Physician · NPI assigned 05/26/2006

$194K
Total Medicaid Paid
8,306
Total Claims
6,666
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialRYDBURG, JEFF (VP)
Parent OrganizationHTI HOSPITAL HOLDINGS, INC.
NPI Enumeration Date05/26/2006

Related Entities

Other providers sharing the same authorized official: RYDBURG, JEFF

ProviderCityStateTotal Paid
CHATTANOOGA DIAGNOSTIC ASSOCIATES LLC CHATTANOOGA TN $1.02M
SKYLINE MEDICAL GROUP LLC NASHVILLE TN $196K
GREATER GWINNETT INTERNAL MEDICINE ASSOCIATES LLC SNELLVILLE GA $685.31

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,801 $43K
2019 1,759 $41K
2020 1,790 $45K
2021 1,048 $26K
2022 779 $17K
2023 838 $16K
2024 291 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,051 5,600 $160K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,043 887 $27K
99215 Prolong outpt/office vis 130 111 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 17 14 $39.09
99222 Initial hospital care, per day, moderate complexity 22 18 $37.10
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 12 $34.89
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 15 12 $30.62
G0008 Administration of influenza virus vaccine 13 12 $25.08