Physician
Oregon Pediatrics Ne Portland PC
Oregon Pediatrics Ne Portland PC was paid $2.23M by Medicaid between Jan 2018 and Oct 2024, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoOREGON PEDIATRICS NE PORTLAND PC
PORTLAND, OR 97213
PORTLAND, OR 97213
33aNPI1366488090assigned 06/21/2006
33bProvider typePediatrics Physician
28Total paid$2.23M
24GClaims56,274
24DCodes billed44
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Oregon
Rank by total paid#13 of 87
Median peer was paid$147K
This provider vs. median15×
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 | 8,153 | $446K | |
| 2019 | 7,611 | $455K | |
| 2020 | 4,956 | $220K | |
| 2021 | 8,676 | $213K | |
| 2022 | 10,867 | $220K | |
| 2023 | 9,019 | $361K | |
| 2024incomplete | 6,992 | $312K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 31% | 7,721 | 7,253 | $690K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 10,020 | 9,428 | $600K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 2,145 | 2,133 | $269K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 2,064 | 1,829 | $241K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 1,173 | 1,157 | $148K |
| 96160 | 2.4% | 4,637 | 4,068 | $53K | |
| 99072 | 1.5% | 12,139 | 11,403 | $33K | |
| 90686 | 1.2% | 1,524 | 1,510 | $27K | |
| D0191 | 1.1% | 1,908 | 1,899 | $25K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,196 | 1,630 | $19K |
| 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% | 1,137 | 1,067 | $14K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 480 | 476 | $14K |
32 more codes
| 99173 | <1% | 2,121 | $13K | |
| 96154 | <1% | 180 | $9K | |
| 90688 | <1% | 384 | $8K | |
| 90670 | <1% | 376 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 654 | $6K |
| D1206 | Topical application of fluoride varnish | <1% | 377 | $6K |
| 90685 | <1% | 251 | $5K | |
| 94760 | <1% | 2,373 | $5K | |
| 90633 | <1% | 193 | $4K | |
| 90698 | <1% | 178 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 317 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 26 | $3K |
| 96161 | <1% | 170 | $3K | |
| 90656 | <1% | 144 | $3K | |
| 90680 | <1% | 140 | $3K | |
| 96127 | <1% | 206 | $2K | |
| 90744 | <1% | 74 | $2K | |
| 90677 | <1% | 38 | $812.52 | |
| 87807 | <1% | 95 | $801.68 | |
| 90651 | <1% | 40 | $790.56 | |
| 90697 | <1% | 27 | $570.96 | |
| 90734 | <1% | 24 | $505.08 | |
| 0002A | <1% | 12 | $320.00 | |
| 36416 | <1% | 129 | $287.70 | |
| 90696 | <1% | 13 | $285.48 | |
| 90700 | <1% | 12 | $263.52 | |
| 90716 | <1% | 12 | $263.52 | |
| 81002 | <1% | 14 | $22.04 | |
| 99051 | 0% | 67 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 16 | $0.00 |
| 99000 | 0% | 454 | $0.00 | |
| 99070 | 0% | 13 | $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 officialSHAH, RUPA (CO OWNER & MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Rupa K. Shah, MD, PC | Clackamas, OR | $5.55M |
| Oregon Pediatrics- Meridian Park, LLC | Tualatin, OR | $1.24M |
| Oregon Pediatrics - Happy Valley, PC | Happy Valley, OR | $631K |
| Oregon Pediatrics-Oregon City, PC | Oregon City, OR | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.