Physician
Small Town Pediatrics LLC
Small Town Pediatrics LLC was paid $153K by Medicaid between Oct 2021 and Dec 2024, across 25 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 31% of everything it billed.
33Billing provider infoSMALL TOWN PEDIATRICS LLC
SILVERTON, OR 97381
SILVERTON, OR 97381
33aNPI1134799489assigned 06/29/2021
33bProvider typePediatrics Physician
28Total paid$153K
24GClaims7,285
24DCodes billed25
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Oregon
Rank by total paid#43 of 87
Median peer was paid$147K
This provider vs. median1.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 668 | $7K | |
| 2022 | 1,957 | $42K | |
| 2023 | 2,510 | $54K | |
| 2024incomplete | 2,150 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 31% | 528 | 459 | $48K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 23% | 359 | 343 | $35K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 2,064 | 1,618 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.2% | 157 | 148 | $14K |
| 90461 | 6.2% | 882 | 786 | $9K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.9% | 681 | 641 | $8K |
| 90686 | 4.7% | 466 | 403 | $7K | |
| 90677 | 1.7% | 143 | 139 | $3K | |
| 90698 | 1.7% | 149 | 137 | $3K | |
| 90670 | 1.0% | 101 | 88 | $2K | |
| 0071A | 1.0% | 80 | 73 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 625 | 576 | $1K |
13 more codes
| 90680 | <1% | 72 | $1K | |
| 99173 | <1% | 389 | $903.20 | |
| 90656 | <1% | 37 | $666.86 | |
| 90744 | <1% | 38 | $458.88 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 289 | $404.71 |
| 90633 | <1% | 14 | $253.80 | |
| 96127 | <1% | 20 | $139.09 | |
| 96161 | <1% | 40 | $99.10 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 35 | $88.50 |
| 87430 | <1% | 14 | $84.72 | |
| 96160 | <1% | 17 | $41.76 | |
| 91307 | 0% | 59 | $0.00 | |
| 99441 | 0% | 26 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHAMBLIN, DOUGLAS (OWNER/PEDIATRICIAN)