Medicaid Provider Spending

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

SOUTHERN OREGON PEDIATRICS, LLP

NPI: 1194932814 · MEDFORD, OR 97504 · Pediatric Hospice and Palliative Medicine Physician · NPI assigned 05/16/2007

$6.49M
Total Medicaid Paid
135,807
Total Claims
128,098
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSANKEY, BRENDA (OFFICE MANAGER)
NPI Enumeration Date05/16/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,204 $1.14M
2019 26,521 $1.19M
2020 20,541 $988K
2021 17,650 $950K
2022 20,761 $1.05M
2023 19,380 $953K
2024 4,750 $224K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47,028 44,000 $3.19M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,429 8,820 $911K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9,032 8,432 $752K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,770 7,585 $685K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,482 2,447 $222K
96110 Developmental screening, with scoring and documentation, per standardized instrument 13,245 12,085 $116K
90686 5,898 5,767 $111K
90670 4,261 4,113 $85K
90832 Psychotherapy, 30 minutes with patient 1,149 858 $45K
D0191 3,671 3,583 $45K
90698 2,185 2,102 $43K
90680 1,916 1,842 $38K
99402 662 588 $32K
99215 Prolong outpt/office vis 236 217 $32K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 232 227 $22K
94760 9,622 9,045 $21K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,680 1,650 $18K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 415 329 $17K
99403 275 261 $17K
90744 735 719 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 222 214 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 882 865 $10K
90633 393 387 $8K
99188 662 640 $7K
99173 3,085 3,025 $7K
99401 168 141 $6K
99177 1,596 1,561 $5K
96150 59 55 $3K
0071A 90 88 $3K
92552 87 87 $3K
0072A 65 65 $2K
90671 79 73 $2K
85018 886 852 $1K
96160 506 486 $1K
36416 194 176 $1K
90677 48 48 $1K
87807 121 119 $990.36
90651 39 39 $746.64
90734 27 26 $570.96
90696 27 27 $549.00
90715 25 25 $527.04
0081A 12 12 $480.00
90707 16 15 $285.48
0011A 18 17 $270.66
90700 12 12 $263.52
90716 15 14 $263.52
83655 30 27 $230.50
88720 34 25 $129.09
81002 53 52 $115.74
J8540 Dexamethasone, oral, 0.25 mg 40 39 $91.68
99000 4,186 4,013 $13.94
90656 12 12 $0.79
90460 Immunization administration through 18 years of age via any route, first or only component 13 12 $0.00
91307 182 179 $0.00