CHILDREN'S COMMUNITY CLINIC
NPI: 1841483252
· PORTLAND, OR 97232
· Pediatrics Physician
· NPI assigned 08/20/2007
Provider Details
| Authorized Official | HICKS, MARDICA (CEO) |
| NPI Enumeration Date | 08/20/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
616 |
$832.84 |
| 2019 |
493 |
$668.22 |
| 2020 |
123 |
$311.77 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 94760 |
|
311 |
302 |
$873.16 |
| 90656 |
|
28 |
28 |
$614.88 |
| 90688 |
|
12 |
12 |
$241.56 |
| 99173 |
|
29 |
29 |
$83.23 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
54 |
$0.00 |
| 2000F |
|
185 |
180 |
$0.00 |
| 3008F |
|
245 |
239 |
$0.00 |
| 2010F |
|
349 |
339 |
$0.00 |