SOUTHERN OREGON MEDICAL CLINIC LLC
NPI: 1932679297
· MEDFORD, OR 97504
· Internal Medicine Physician
· NPI assigned 11/29/2018
$993.16
Total Medicaid Paid
Provider Details
| Authorized Official | REED, ERIC (OWNER) |
| NPI Enumeration Date | 11/29/2018 |
Related Entities
Other providers sharing the same authorized official: REED, ERIC
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
13 |
$993.16 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$993.16 |