Rheumatology Clinic LLC

Rheumatology Clinic LLC was paid $3.90M by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is Q5104, Injection, infliximab-abda, biosimilar, (renflexis), 10 mg — 55% of everything it billed.

33Billing provider infoRHEUMATOLOGY CLINIC LLC
MEDFORD, OR 97504

33aNPI1164746756assigned 03/25/2010

33bProvider typeRheumatology Physician

28Total paid$3.90M

24GClaims46,255

24DCodes billed34

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Rheumatology Physician providers in Oregon

Rank by total paid#1 of 18

Median peer was paid$82K

This provider vs. median47×

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
2018	2,604	$54K
2019	3,352	$62K
2020	5,946	$134K
2021	8,841	$603K
2022	9,005	$1.14M
2023	10,761	$1.52M
2024incomplete	5,746	$385K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	55%	1,874	1,073	$2.14M
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	18%	333	295	$682K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	14%	7,433	6,818	$545K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	5.4%	2,514	2,314	$212K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.4%	817	761	$94K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	862	758	$38K
96415		<1%	1,572	1,429	$36K
J1602	Injection, golimumab, 1 mg, for intravenous use	<1%	23	12	$31K
80053	Comprehensive metabolic panel	<1%	5,749	5,305	$29K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	5,797	5,351	$22K
86140		<1%	5,518	5,074	$14K
96375	Therapeutic injection; each additional sequential IV push	<1%	710	641	$11K

22 more codes

36415	Collection of venous blood by venipuncture	<1%	5,462	$11K
86235		<1%	112	$5K
85652		<1%	3,919	$5K
85651		<1%	1,603	$3K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	93	$3K
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	<1%	492	$2K
86160		<1%	155	$2K
99213	Doctor's office visit, returning patient (routine)	<1%	25	$2K
99205	Prolong outpt/office vis	<1%	14	$2K
86038		<1%	193	$1K
86200		<1%	160	$1K
86225		<1%	117	$882.68
86376		<1%	92	$751.64
86430		<1%	139	$440.88
72202		<1%	15	$285.24
81003		<1%	199	$255.47
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	41	$183.52
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	161	$126.45
86039		<1%	17	$100.62
82550		<1%	15	$58.02
J2919	Injection, methylprednisolone sodium succinate, 5 mg	<1%	14	$46.53
84550		<1%	15	$41.55

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 officialLEWIS, CHERIE (OFFICE MANAGER)