Physician
Calcagno Pediatrics PC
Calcagno Pediatrics PC was paid $4.96M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoCALCAGNO PEDIATRICS PC
GRESHAM, OR 97030
GRESHAM, OR 97030
33aNPI1255322194assigned 10/31/2005
33bProvider typePediatrics Physician
28Total paid$4.96M
24GClaims91,673
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Oregon
Rank by total paid#8 of 87
Median peer was paid$147K
This provider vs. median34×
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 | 11,676 | $734K | |
| 2019 | 12,155 | $719K | |
| 2020 | 10,059 | $575K | |
| 2021 | 11,901 | $592K | |
| 2022 | 15,615 | $824K | |
| 2023 | 15,267 | $744K | |
| 2024incomplete | 15,000 | $768K |
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% | 22,481 | 21,289 | $1.64M |
| 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 | 27% | 12,760 | 11,921 | $1.34M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 5,782 | 5,635 | $579K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.3% | 5,013 | 4,582 | $461K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.0% | 3,494 | 3,447 | $348K |
| 90686 | 2.2% | 5,089 | 4,973 | $108K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 7,915 | 7,530 | $87K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 640 | 630 | $69K |
| 96127 | 1.1% | 9,403 | 8,860 | $53K | |
| 90670 | <1% | 1,800 | 1,775 | $39K | |
| 99188 | <1% | 3,148 | 3,008 | $35K | |
| 90698 | <1% | 1,214 | 1,189 | $26K |
34 more codes
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 513 | $20K |
| 90674 | <1% | 783 | $16K | |
| 90671 | <1% | 722 | $15K | |
| 92551 | <1% | 1,190 | $13K | |
| 90656 | <1% | 598 | $12K | |
| 90680 | <1% | 596 | $12K | |
| 90697 | <1% | 572 | $11K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 55 | $10K |
| 36416 | <1% | 2,021 | $7K | |
| 90633 | <1% | 313 | $6K | |
| 0071A | <1% | 131 | $5K | |
| 0072A | <1% | 106 | $4K | |
| 99173 | <1% | 1,472 | $4K | |
| 96161 | <1% | 1,301 | $3K | |
| 90707 | <1% | 150 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 152 | $3K |
| 96160 | <1% | 807 | $2K | |
| 90716 | <1% | 94 | $2K | |
| 99383 | <1% | 13 | $2K | |
| 90744 | <1% | 80 | $2K | |
| 0001A | <1% | 31 | $1K | |
| 85018 | <1% | 720 | $1K | |
| 99460 | <1% | 14 | $1K | |
| 0002A | <1% | 30 | $1K | |
| 90651 | <1% | 39 | $1K | |
| 90677 | <1% | 41 | $900.36 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 71 | $802.54 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $724.31 |
| 83655 | <1% | 73 | $598.94 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $568.10 |
| 36415 | Collection of venous blood by venipuncture | <1% | 99 | $219.38 |
| 90710 | <1% | 14 | $148.23 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 13 | $7.70 |
| G9920 | Screening performed and negative | 0% | 93 | $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 officialCALCAGNO, FRANK (MD/OWNER)