NPI: 1841304920 · PRINEVILLE, OR 97754 · 251B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 452 | $77K |
| 2019 | 769 | $110K |
| 2020 | 504 | $69K |
| 2021 | 279 | $23K |
| 2022 | 212 | $27K |
| 2023 | 278 | $33K |
| 2024 | 159 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 1,795 | 1,703 | $222K |
| T1017 | Targeted case management | 373 | 263 | $128K |
| 90686 | 146 | 142 | $3K | |
| S4993 | Contraceptive pills for bc | 152 | 119 | $1K |
| J1050 | Medroxyprogesterone acetate | 27 | 26 | $1K |
| 99404 | 15 | 12 | $906.62 | |
| 0002A | 24 | 24 | $480.00 | |
| 90688 | 30 | 28 | $448.27 | |
| 0012A | 13 | 13 | $440.00 | |
| 90715 | 14 | 14 | $307.44 | |
| S4930 | 27 | 26 | $270.00 | |
| 90710 | 12 | 12 | $263.52 | |
| 0001A | 13 | 13 | $120.00 | |
| 90471 | 12 | 12 | $108.68 |