Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OR › Beaverton › NPI 1528066859
Physician

Pediatric Associates of the Northwest, PC

Pediatric Associates of the Northwest, PC was paid $438K by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.

33Billing provider infoPEDIATRIC ASSOCIATES OF THE NORTHWEST, PC
BEAVERTON, OR 97007
33aNPI1528066859assigned 07/11/2005
33bProvider typePediatrics Physician
28Total paid$438K
24GClaims10,408
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Oregon

Rank by total paid#30 of 87
Median peer was paid$147K
This provider vs. median3.0×

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
20181,532$83K
20191,503$81K
2020810$32K
20211,436$45K
20221,287$49K
20231,711$69K
2024incomplete2,129$79K
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 77% 5,324 5,011 $337K
90686 5.9% 1,376 1,351 $26K
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 5.0% 243 230 $22K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.8% 65 63 $8K
0072A 1.5% 174 174 $7K
0071A 1.5% 243 178 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.4% 136 133 $6K
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% 446 429 $5K
96127 1.0% 290 265 $5K
96160 <1% 250 233 $3K
0001A <1% 72 71 $3K
0002A <1% 50 50 $2K
17 more codes
90656 <1% 112 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 13 $1K
91319 <1% 52 $1K
0054A <1% 26 $880.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 260 $847.38
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 14 $628.69
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 14 $496.56
99072 <1% 195 $480.00
91320 <1% 16 $394.63
90685 <1% 12 $263.52
99173 <1% 41 $158.28
90460 Immunization administration through 18 years of age via any route, first or only component <1% 794 $81.39
90480 <1% 122 $40.00
36416 <1% 24 $26.25
94760 <1% 13 $19.68
99000 0% 15 $0.00
91311 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 officialCOLBURN, PAMELA (PRACTICE ADMINISTRATOR)