WVP MEDICAL GROUP, LLC
NPI: 1750684767
· KEIZER, OR 97303
· Primary Care Clinic/Center
· NPI assigned 12/13/2010
$298K
Total Medicaid Paid
Provider Details
| Authorized Official | ANDRETTA, DEAN (CFO) |
| Parent Organization | MID VALLEY IPA (WVP HEALTH AUTHORITY) |
| NPI Enumeration Date | 12/13/2010 |
Related Entities
Other providers sharing the same authorized official: ANDRETTA, DEAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,032 |
$154K |
| 2019 |
2,023 |
$144K |
| 2021 |
17 |
$39.52 |
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 |
2,175 |
1,826 |
$199K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,241 |
1,089 |
$82K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
92 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
171 |
159 |
$3K |
| 90688 |
|
131 |
127 |
$2K |
| 96127 |
|
240 |
225 |
$1K |
| 90682 |
|
14 |
14 |
$800.93 |