Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

North River Pediatrics, LLC

North River Pediatrics, LLC was paid $677K by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoNORTH RIVER PEDIATRICS, LLC
ROSEBURG, OR 97471
33aNPI1447421250assigned 03/19/2008
33bProvider typePediatrics Physician
28Total paid$677K
24GClaims18,624
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Oregon

Rank by total paid#26 of 87
Median peer was paid$147K
This provider vs. median4.6×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20183,589$133K
20193,633$127K
20202,889$101K
20211,906$69K
20222,209$88K
20232,379$83K
2024incomplete2,019$76K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 3,198 2,809 $215K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 22% 1,480 1,441 $148K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14% 1,014 973 $97K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 749 741 $72K
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 5.5% 389 349 $37K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.6% 1,990 1,589 $17K
90670 2.2% 697 687 $15K
90686 1.8% 596 576 $12K
96160 1.6% 4,027 3,276 $11K
90647 1.2% 371 366 $8K
90723 1.1% 367 363 $8K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1.1% 27 27 $8K
15 more codes
90680 1.1% 350 $7K
90685 <1% 169 $3K
90707 <1% 144 $3K
90716 <1% 117 $2K
99173 <1% 884 $2K
96161 <1% 667 $2K
90633 <1% 89 $2K
99177 <1% 721 $2K
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% 157 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 30 $1K
90677 <1% 50 $1K
90661 <1% 45 $944.28
96127 <1% 175 $670.85
36416 <1% 106 $443.98
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 15 $305.76

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 officialGALLANT, GREG (PRACTICE MANAGER)