SOUTH SALEM IMMEDIATE CARE INC.
NPI: 1871648402
· SALEM, OR 97302
· 173000000X
$550K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,923 |
$102K |
| 2019 |
1,498 |
$75K |
| 2020 |
786 |
$37K |
| 2021 |
919 |
$61K |
| 2022 |
1,467 |
$101K |
| 2023 |
1,591 |
$107K |
| 2024 |
937 |
$67K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
|
2,158 |
2,115 |
$165K |
| 99204 |
|
1,121 |
1,092 |
$128K |
| 99214 |
|
997 |
948 |
$82K |
| 99213 |
|
1,209 |
1,129 |
$70K |
| 99205 |
Prolong outpt/office vis |
346 |
339 |
$52K |
| 99215 |
Prolong outpt/office vis |
132 |
131 |
$16K |
| 87502 |
|
223 |
217 |
$14K |
| 93000 |
|
575 |
563 |
$7K |
| 87880 |
|
496 |
481 |
$5K |
| 81000 |
|
1,367 |
1,324 |
$4K |
| 99202 |
|
61 |
60 |
$3K |
| 87811 |
|
99 |
99 |
$3K |
| 86580 |
|
112 |
109 |
$642.42 |
| 96372 |
|
30 |
30 |
$569.22 |
| 36415 |
|
102 |
102 |
$215.85 |
| 94760 |
|
28 |
27 |
$49.85 |
| 99072 |
|
65 |
61 |
$15.00 |