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

PDX Allergy LLC

PDX Allergy LLC was paid $324K by Medicaid between Mar 2021 and Dec 2024, across 11 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 30% of everything it billed.

33Billing provider infoPDX ALLERGY LLC
CLACKAMAS, OR 97015
33aNPI1447874367assigned 06/05/2020
28Total paid$324K
24GClaims6,896
24DCodes billed11
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers

Next to other Allergy & Immunology Physician providers in Oregon

Rank by total paid#1 of 5
Median peer was paid$93K
This provider vs. median3.5×

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$20K$40K2018201920202021202220232024
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
2021535$32K
20221,529$96K
20232,682$160K
2024incomplete2,150$37K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 30% 315 158 $99K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 21% 350 318 $68K
95117 14% 4,845 1,880 $47K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14% 367 350 $45K
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 11% 393 357 $36K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.6% 449 368 $25K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 26 25 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 30 26 $1K
95115 <1% 76 39 $597.86
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% 31 31 $359.42
94375 <1% 14 13 $329.40

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 officialMERRIAM, ANGIE (PRACTICE MANAGER)