POWERED BY SELF LOVE OREGON LLC
NPI: 1821730417
· KEIZER, OR 97303
· Psychiatric/Mental Health Nurse Practitioner
· NPI assigned 04/13/2022
$120K
Total Medicaid Paid
Provider Details
| Authorized Official | PHAM, LOAN (FOUNDER, CEO) |
| NPI Enumeration Date | 04/13/2022 |
Related Entities
Other providers sharing the same authorized official: PHAM, LOAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
177 |
$18K |
| 2024 |
650 |
$102K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90838 |
|
420 |
188 |
$73K |
| 99215 |
Prolong outpt/office vis |
348 |
158 |
$47K |
| 96127 |
|
59 |
25 |
$0.00 |