PORTLAND AVENUE CLINIC MANAGEMENT
NPI: 1922139534
· TACOMA, WA 98404
· Primary Care Clinic/Center
· NPI assigned 03/07/2007
$156K
Total Medicaid Paid
Provider Details
| Authorized Official | LENG, POLY (MANAGER) |
| NPI Enumeration Date | 03/07/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,980 |
$39K |
| 2019 |
1,686 |
$28K |
| 2020 |
1,353 |
$24K |
| 2021 |
1,098 |
$20K |
| 2022 |
763 |
$20K |
| 2023 |
568 |
$17K |
| 2024 |
249 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,614 |
4,337 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,916 |
2,813 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
116 |
114 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$373.28 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
39 |
$51.42 |