PORTLAND PEDIATRIC GROUP, LLP
NPI: 1174745285
· ROCHESTER, NY 14617
· Pediatrics Physician
· NPI assigned 05/02/2007
$1.10M
Total Medicaid Paid
Provider Details
| Authorized Official | DAVIS, RODERICK (PRESIDENT) |
| NPI Enumeration Date | 05/02/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,582 |
$75K |
| 2019 |
2,322 |
$106K |
| 2020 |
3,019 |
$155K |
| 2021 |
3,731 |
$203K |
| 2022 |
3,716 |
$210K |
| 2023 |
3,560 |
$204K |
| 2024 |
2,711 |
$143K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
7,279 |
6,846 |
$478K |
| 99214 |
|
2,899 |
2,820 |
$266K |
| 90460 |
|
4,374 |
4,349 |
$76K |
| 99393 |
|
823 |
823 |
$73K |
| 99392 |
|
666 |
666 |
$61K |
| 90471 |
|
1,646 |
1,634 |
$34K |
| 99394 |
|
364 |
364 |
$34K |
| 99391 |
|
373 |
356 |
$32K |
| 90472 |
|
1,682 |
1,679 |
$27K |
| 87502 |
|
56 |
56 |
$5K |
| 0071A |
|
117 |
117 |
$5K |
| 0072A |
|
101 |
101 |
$4K |
| 96110 |
|
103 |
103 |
$1K |
| 87070 |
|
50 |
50 |
$443.53 |
| 87880 |
|
67 |
65 |
$330.79 |
| 96127 |
|
14 |
14 |
$61.09 |
| 90619 |
|
27 |
27 |
$0.25 |