Physician
Hillsboro Pediatric Clinic LLC
Hillsboro Pediatric Clinic LLC was paid $5.41M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoHILLSBORO PEDIATRIC CLINIC LLC
HILLSBORO, OR 97123
HILLSBORO, OR 97123
33aNPI1245312842assigned 10/20/2006
33bProvider typePediatrics Physician
28Total paid$5.41M
24GClaims151,451
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Oregon
Rank by total paid#7 of 87
Median peer was paid$147K
This provider vs. median37×
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 | 24,888 | $1.14M | |
| 2019 | 23,600 | $1.08M | |
| 2020 | 20,249 | $667K | |
| 2021 | 23,246 | $625K | |
| 2022 | 24,557 | $710K | |
| 2023 | 19,108 | $650K | |
| 2024incomplete | 15,803 | $536K |
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 | 39% | 39,783 | 38,408 | $2.13M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.4% | 6,476 | 5,968 | $509K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.3% | 5,575 | 5,439 | $448K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.1% | 5,734 | 5,590 | $386K |
| 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 | 6.2% | 3,904 | 3,332 | $337K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.0% | 6,340 | 6,232 | $214K |
| 90688 | 3.4% | 8,783 | 8,673 | $182K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.4% | 2,706 | 2,666 | $130K |
| 96158 | 2.3% | 2,182 | 1,764 | $126K | |
| 96167 | 2.3% | 2,208 | 1,898 | $124K | |
| 96156 | 2.0% | 1,409 | 1,392 | $109K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 1,799 | 1,773 | $105K |
59 more codes
| D0191 | 1.4% | 6,350 | $74K | |
| 92551 | 1.3% | 9,326 | $73K | |
| 90670 | <1% | 2,209 | $47K | |
| 96168 | <1% | 1,562 | $38K | |
| 96127 | <1% | 8,297 | $33K | |
| 96150 | <1% | 557 | $33K | |
| 96154 | <1% | 506 | $29K | |
| 90687 | <1% | 1,335 | $28K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,972 | $26K |
| 90680 | <1% | 1,108 | $24K | |
| 90698 | <1% | 1,038 | $22K | |
| 96159 | <1% | 818 | $17K | |
| 0071A | <1% | 416 | $16K | |
| 0072A | <1% | 375 | $15K | |
| 94760 | <1% | 6,749 | $15K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 412 | $11K |
| 90658 | <1% | 488 | $11K | |
| 99177 | <1% | 7,505 | $10K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 299 | $9K |
| 96152 | <1% | 113 | $8K | |
| 90744 | <1% | 330 | $7K | |
| 90697 | <1% | 316 | $7K | |
| 99188 | <1% | 636 | $6K | |
| 96161 | <1% | 1,858 | $6K | |
| 0002A | <1% | 147 | $6K | |
| 41010 | <1% | 28 | $5K | |
| 90633 | <1% | 226 | $5K | |
| 90677 | <1% | 191 | $4K | |
| 0001A | <1% | 96 | $4K | |
| 90651 | <1% | 172 | $4K | |
| 99460 | <1% | 41 | $3K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 112 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 246 | $3K |
| 36416 | <1% | 1,861 | $3K | |
| 99173 | <1% | 843 | $2K | |
| 0003A | <1% | 50 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $1K |
| 90672 | <1% | 50 | $1K | |
| 90734 | <1% | 46 | $942.04 | |
| 90671 | <1% | 42 | $900.36 | |
| 91320 | <1% | 16 | $711.04 | |
| 87634 | <1% | 15 | $671.40 | |
| 0124A | <1% | 14 | $560.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 27 | $441.45 |
| D1206 | Topical application of fluoride varnish | <1% | 30 | $376.10 |
| 90657 | <1% | 30 | $348.51 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 26 | $340.93 |
| 90686 | <1% | 14 | $283.24 | |
| 90619 | <1% | 12 | $263.52 | |
| 90716 | <1% | 12 | $252.52 | |
| 90707 | <1% | 12 | $252.52 | |
| 83655 | <1% | 13 | $129.16 | |
| 96160 | <1% | 3,002 | $53.37 | |
| 85018 | <1% | 36 | $53.29 | |
| 82465 | <1% | 13 | $6.10 | |
| 91307 | 0% | 976 | $0.00 | |
| 91300 | 0% | 524 | $0.00 | |
| 91308 | 0% | 27 | $0.00 | |
| 91312 | 0% | 14 | $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 officialMCDONALD, GINGER (CPA/ADMINISTRATOR)