PORTLAND CLINIC PHARMACY
Internal Medicine Physician · PORTLAND, TN
Organization Active NPI 1750935367
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 43 | 104 | $7,557 | $6,510 | $6,510 |
| 2023 | 82 | 206 | $13,687 | $12,422 | $12,422 |
| 2022 | 147 | 317 | $16,631 | $14,168 | $14,168 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 41 | $29 | $29 |
| 90653 | Influenza vaccine, inactivated | 35 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 11 | $40 | $40 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 11 | $156 | $156 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | — | — |
| Community/Retail Pharmacy | 3336C0003X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.