Central Oregon Pediatric Associates

Central Oregon Pediatric Associates was paid $7.16M by Medicaid between Jan 2018 and Dec 2024, across 88 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 24% of everything it billed.

33Billing provider infoCENTRAL OREGON PEDIATRIC ASSOCIATES
BEND, OR 97701

33aNPI1457337834assigned 12/19/2005

33bProvider typePediatrics Physician

28Total paid$7.16M

24GClaims284,999

24DCodes billed88

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Oregon

Rank by total paid#4 of 87

Median peer was paid$147K

This provider vs. median49×

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	40,078	$910K
2019	48,390	$1.13M
2020	38,218	$1.17M
2021	31,813	$884K
2022	35,142	$945K
2023	41,769	$1.03M
2024incomplete	49,589	$1.10M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	24%	17,127	16,800	$1.69M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	22%	17,956	16,143	$1.54M
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	15%	10,844	10,702	$1.08M
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	6.6%	4,313	4,247	$470K
90686		4.2%	15,208	14,928	$304K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	3.5%	2,219	2,153	$249K
90670		2.5%	8,394	8,221	$176K
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	2.4%	48,977	46,120	$173K
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	2.1%	2,754	2,715	$152K
90723		1.6%	5,908	5,804	$118K
D0191		1.6%	14,381	14,290	$116K
90647		1.5%	5,447	5,326	$104K

76 more codes

99213	Doctor's office visit, returning patient (routine)	1.4%	40,851	$98K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.3%	9,912	$96K
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)	1.3%	10,362	$93K
96156		<1%	592	$58K
97802		<1%	550	$51K
96160		<1%	13,964	$44K
96127		<1%	7,041	$38K
90633		<1%	1,925	$38K
90681		<1%	1,745	$35K
90832	Psychotherapy session, about 30 minutes	<1%	480	$32K
99174		<1%	6,279	$31K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	2,873	$27K
94760		<1%	9,700	$23K
90651		<1%	1,081	$23K
99204	Doctor's office visit, new patient (more involved)	<1%	170	$22K
90656		<1%	1,089	$21K
97803		<1%	295	$20K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	1,825	$20K
99460		<1%	336	$19K
99173		<1%	6,401	$18K
96158		<1%	213	$17K
90677		<1%	835	$16K
99401		<1%	437	$13K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	894	$13K
0072A		<1%	345	$12K
0071A		<1%	319	$11K
90734		<1%	497	$10K
99403		<1%	99	$7K
90710		<1%	334	$7K
99188		<1%	528	$6K
96161		<1%	1,643	$5K
90696		<1%	233	$5K
99404		<1%	59	$5K
0002A		<1%	124	$5K
90688		<1%	207	$4K
90707		<1%	174	$4K
99222	Initial hospital care, per day, moderate complexity	<1%	32	$3K
90672		<1%	156	$3K
36416		<1%	1,134	$3K
90700		<1%	156	$3K
0001A		<1%	83	$3K
99238	Hospital discharge day management, 30 minutes or less	<1%	59	$3K
90716		<1%	130	$3K
90715		<1%	122	$2K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	39	$2K
81003		<1%	1,251	$2K
90685		<1%	74	$2K
0054A		<1%	44	$1K
90834	Psychotherapy session, about 45 minutes	<1%	16	$1K
99381		<1%	16	$1K
87428		<1%	74	$1K
91321		<1%	60	$1K
90620		<1%	51	$1K
0112A		<1%	24	$846.40
87807		<1%	97	$759.30
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	42	$575.00
0111A		<1%	15	$506.52
90660		<1%	25	$488.32
0074A		<1%	12	$441.60
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	31	$439.66
90381		<1%	29	$407.52
99462		<1%	16	$311.11
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	178	$115.95
36415	Collection of venous blood by venipuncture	<1%	704	$83.40
85018		<1%	26	$39.78
85014		<1%	26	$39.78
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	104	$35.36
91307		<1%	914	$0.13
91308		<1%	26	$0.02
91311		<1%	50	$0.01
91305		0%	60	$0.00
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	0%	104	$0.00
99070		0%	17	$0.00
91300		0%	430	$0.00
T1013	Sign language or oral interpretive services, per 15 minutes	0%	616	$0.00
99215	Doctor's office visit, returning patient (complex)	0%	16	$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 officialMILLER, WADE (ADMINISTRATOR)