Medicaid Provider Spending

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

WESTSIDE PEDIATRIC CLINIC PC

NPI: 1093929226 · PORTLAND, OR 97225 · Pediatrics Physician · NPI assigned 05/09/2007

$2.33M
Total Medicaid Paid
43,505
Total Claims
40,464
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDISTEFANO, CONNIE (ADMINISTRATOR)
NPI Enumeration Date05/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,458 $380K
2019 6,852 $334K
2020 5,353 $235K
2021 5,178 $252K
2022 5,468 $312K
2023 6,489 $407K
2024 6,707 $409K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,955 11,784 $981K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,140 4,656 $563K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,810 1,695 $198K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,264 1,218 $160K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,079 909 $106K
90686 4,133 3,981 $85K
D0191 5,158 4,973 $51K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 223 218 $32K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 690 668 $27K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,749 1,569 $19K
96127 860 810 $15K
99177 2,331 2,217 $11K
90698 473 452 $10K
90656 451 429 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 142 138 $8K
90670 326 312 $7K
0071A 162 159 $6K
87428 287 262 $6K
0072A 145 142 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 359 348 $4K
99173 1,068 1,021 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 301 290 $3K
94760 965 886 $3K
90677 90 86 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 152 144 $2K
90680 89 80 $2K
0001A 37 35 $1K
0002A 34 34 $1K
90633 68 64 $1K
90651 62 57 $1K
36416 411 365 $931.20
87077 140 130 $921.84
99188 69 66 $827.79
D0190 50 50 $706.29
0074A 18 14 $560.00
90716 30 26 $549.00
90619 16 16 $351.36
90480 58 56 $285.48
90685 12 12 $263.52
90707 12 12 $263.52
90744 13 12 $263.52
87899 12 12 $114.06
85018 46 44 $76.46
96161 15 12 $71.06