SOUTHERN OREGON SPINE CARE, P.C.
NPI: 1912349580
· MEDFORD, OR 97504
· Orthopaedic Surgery of the Spine Physician
· NPI assigned 07/24/2013
$129K
Total Medicaid Paid
Provider Details
| Authorized Official | PETERSON, MARK (DOCTOR) |
| NPI Enumeration Date | 07/24/2013 |
Related Entities
Other providers sharing the same authorized official: PETERSON, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
640 |
$43K |
| 2019 |
581 |
$41K |
| 2020 |
462 |
$34K |
| 2021 |
102 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
498 |
471 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,009 |
913 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
278 |
255 |
$21K |