Behavioral
Metropolitan Pediatrics, LLC
Metropolitan Pediatrics, LLC was paid $15.01M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoMETROPOLITAN PEDIATRICS, LLC
PORTLAND, OR 97210
PORTLAND, OR 97210
33aNPI1235131632assigned 08/15/2005
33bProvider typeClinical Social Worker
28Total paid$15.01M
24GClaims243,270
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Oregon
Rank by total paid#2 of 198
Median peer was paid$64K
This provider vs. median235×
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 | 27,022 | $1.71M | |
| 2019 | 29,781 | $1.87M | |
| 2020 | 28,765 | $1.68M | |
| 2021 | 33,726 | $1.77M | |
| 2022 | 42,274 | $2.17M | |
| 2023 | 39,326 | $2.84M | |
| 2024incomplete | 42,376 | $2.97M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 73,871 | 69,975 | $4.89M |
| 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 | 21% | 33,188 | 31,228 | $3.18M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 18,774 | 16,759 | $2.34M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 13,670 | 13,515 | $1.91M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.1% | 5,729 | 5,619 | $769K |
| 90686 | 2.7% | 21,692 | 21,407 | $407K | |
| 96127 | 1.4% | 12,888 | 12,049 | $209K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.3% | 4,453 | 4,370 | $199K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 1,115 | 1,041 | $140K |
| 90670 | <1% | 5,651 | 5,561 | $115K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 717 | 707 | $103K |
| 90698 | <1% | 3,453 | 3,393 | $71K |
57 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,763 | $53K |
| 90680 | <1% | 2,353 | $48K | |
| 90656 | <1% | 2,265 | $46K | |
| 99188 | <1% | 2,683 | $42K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 725 | $40K |
| 99177 | <1% | 5,140 | $36K | |
| 90685 | <1% | 1,631 | $35K | |
| 0072A | <1% | 781 | $28K | |
| 90744 | <1% | 1,132 | $23K | |
| 90677 | <1% | 1,056 | $22K | |
| 36416 | <1% | 7,342 | $22K | |
| 91322 | <1% | 272 | $21K | |
| 96160 | <1% | 2,768 | $21K | |
| 0071A | <1% | 569 | $21K | |
| 99173 | <1% | 3,295 | $20K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,105 | $19K |
| 92551 | <1% | 1,572 | $17K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 134 | $15K |
| 90633 | <1% | 679 | $14K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,084 | $13K |
| 90837 | Psychotherapy session, about an hour | <1% | 108 | $13K |
| D0191 | <1% | 1,045 | $11K | |
| 0082A | <1% | 247 | $10K | |
| 91321 | <1% | 378 | $9K | |
| 0124A | <1% | 233 | $8K | |
| 90480 | <1% | 265 | $8K | |
| 87634 | <1% | 182 | $6K | |
| 0002A | <1% | 149 | $6K | |
| 0004A | <1% | 142 | $5K | |
| 83655 | <1% | 568 | $5K | |
| 0081A | <1% | 106 | $4K | |
| 0001A | <1% | 110 | $4K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 174 | $4K |
| 99401 | <1% | 143 | $4K | |
| 0074A | <1% | 92 | $4K | |
| 0154A | <1% | 85 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 71 | $3K |
| 0083A | <1% | 52 | $2K | |
| 90651 | <1% | 61 | $1K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 12 | $1K |
| 0111A | <1% | 27 | $1K | |
| 90381 | <1% | 39 | $856.44 | |
| 92583 | <1% | 25 | $844.33 | |
| 0112A | <1% | 20 | $800.00 | |
| 90716 | <1% | 37 | $746.64 | |
| 85018 | <1% | 426 | $722.86 | |
| 80061 | Lipid panel | <1% | 59 | $632.53 |
| 90700 | <1% | 29 | $570.96 | |
| 0173A | <1% | 13 | $520.00 | |
| 90707 | <1% | 17 | $373.32 | |
| 91318 | <1% | 19 | $367.72 | |
| 90380 | <1% | 17 | $296.46 | |
| 90672 | <1% | 12 | $241.56 | |
| 90648 | <1% | 13 | $219.60 | |
| 81003 | <1% | 55 | $74.83 | |
| 99000 | <1% | 1,998 | $39.68 | |
| 91300 | 0% | 691 | $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 officialBRADEEN, RESA (CHIEF MEDICAL OFFICER)