Northwest Pediatric Gastroenterology, LLC
Northwest Pediatric Gastroenterology, LLC was paid $201K by Medicaid between Jan 2018 and Dec 2018, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoNORTHWEST PEDIATRIC GASTROENTEROLOGY, LLC
PORTLAND, OR 97227
PORTLAND, OR 97227
33aNPI1548467129assigned 06/28/2007
33bProvider typeSpecialist
28Total paid$201K
24GClaims1,883
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Specialist providers in Oregon
Rank by total paid#23 of 85
Median peer was paid$36K
This provider vs. median5.6×
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
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 | 1,883 | $201K |
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 | 43% | 984 | 952 | $87K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 36% | 625 | 597 | $72K |
| 99205 | Prolong outpt/office vis | 10% | 119 | 114 | $20K |
| 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 | 9.1% | 128 | 127 | $18K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.3% | 27 | 26 | $3K |
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 officialSCHULZ, DEBRA (CLINIC MANAGER)