Physician
Pacific Crest Childrens Urgent Care LLC
Pacific Crest Childrens Urgent Care LLC was paid $1.19M by Medicaid between Jun 2018 and Dec 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoPACIFIC CREST CHILDRENS URGENT CARE LLC
PORTLAND, OR 97213
PORTLAND, OR 97213
33aNPI1164947701assigned 08/04/2017
33bProvider typePediatrics Physician
28Total paid$1.19M
24GClaims17,237
24DCodes billed32
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Oregon
Rank by total paid#18 of 87
Median peer was paid$147K
This provider vs. median8.1×
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 | 69 | $7K | |
| 2019 | 636 | $59K | |
| 2020 | 1,082 | $90K | |
| 2021 | 5,402 | $329K | |
| 2022 | 5,342 | $308K | |
| 2023 | 2,829 | $219K | |
| 2024incomplete | 1,877 | $179K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 55% | 7,063 | 6,452 | $660K |
| 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 | 16% | 1,546 | 1,434 | $195K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 16% | 4,974 | 4,480 | $190K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.2% | 882 | 798 | $50K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.5% | 508 | 490 | $42K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.5% | 315 | 308 | $18K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 130 | 82 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 82 | 78 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 295 | 214 | $4K |
| 90686 | <1% | 184 | 172 | $3K | |
| 0072A | <1% | 88 | 79 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 85 | 75 | $3K |
20 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 17 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 116 | $1K |
| 92552 | <1% | 65 | $1K | |
| 0071A | <1% | 32 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 89 | $960.64 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 35 | $811.16 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 33 | $664.29 |
| 90461 | <1% | 140 | $660.01 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 55 | $600.08 |
| 99201 | <1% | 15 | $560.41 | |
| 87634 | <1% | 15 | $540.54 | |
| 87400 | <1% | 56 | $428.15 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 103 | $415.21 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | $321.49 |
| 36416 | <1% | 13 | $101.09 | |
| 99173 | <1% | 31 | $32.10 | |
| 96160 | <1% | 14 | $24.19 | |
| 99000 | <1% | 14 | $3.89 | |
| 91307 | 0% | 216 | $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 officialFISH, COREY (CHIEF MEDICAL OFFICER)