Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OPTIMAL HEALTH OF SOUTHERN OREGON, LLC

NPI: 1902353907 · GRANTS PASS, OR 97526 · Family Medicine Physician · NPI assigned 09/07/2016

$20K
Total Medicaid Paid
11,007
Total Claims
9,364
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHEIDINGER, WENDELL (OWNER)
NPI Enumeration Date09/07/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,795 $4K
2019 2,041 $4K
2020 1,631 $3K
2021 2,184 $4K
2022 1,311 $2K
2023 1,170 $1K
2024 875 $826.30

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,193 5,976 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,901 2,557 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 122 85 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 47 47 $393.59
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 64 60 $176.58
96160 212 201 $51.40
3078F 98 95 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 15 13 $0.00
3074F 271 259 $0.00
3079F 45 42 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 20 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 19 17 $0.00