Medicaid Provider Spending

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

WILDWOOD FAMILY MEDICINE, LLC

NPI: 1952718579 · PORTLAND, OR 97203 · Primary Care Clinic/Center · NPI assigned 07/15/2014

$44K
Total Medicaid Paid
534
Total Claims
397
Beneficiaries
4
Codes Billed
2018-01
First Month
2019-08
Last Month

Provider Details

Authorized OfficialBRYANT, LISA (OWNER)
NPI Enumeration Date07/15/2014

Related Entities

Other providers sharing the same authorized official: BRYANT, LISA

ProviderCityStateTotal Paid
OLIVER EYE ASSOCIATES PA YORK SC $140.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 387 $29K
2019 147 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 344 266 $37K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51 41 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 123 77 $3K
36415 Collection of venous blood by venipuncture 16 13 $33.60