NP / PA
Pediatric TLC PC
Pediatric TLC PC was paid $16K by Medicaid between Nov 2021 and Nov 2024, across 14 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 31% of everything it billed.
33Billing provider infoPEDIATRIC TLC PC
GRANTS PASS, OR 97527
GRANTS PASS, OR 97527
33aNPI1548930464assigned 09/14/2021
33bProvider typePediatric Nurse Practitioner
28Total paid$16K
24GClaims4,786
24DCodes billed14
24AFirst – last monthNov 2021 – Nov 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Oregon
Rank by total paid#3 of 7
Median peer was paid$6K
This provider vs. median2.5×
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
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 | |
|---|---|---|---|
| 2021 | 255 | $155.34 | |
| 2022 | 1,814 | $14K | |
| 2023 | 1,336 | $941.25 | |
| 2024incomplete | 1,381 | $354.02 |
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) | 31% | 514 | 506 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 25% | 216 | 173 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 17% | 365 | 358 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.4% | 953 | 886 | $1K |
| 90686 | 5.7% | 130 | 128 | $891.40 | |
| 90670 | 4.3% | 102 | 93 | $674.04 | |
| 90698 | 4.2% | 85 | 77 | $654.28 | |
| 90734 | 1.6% | 13 | 13 | $256.88 | |
| 90680 | 1.5% | 42 | 40 | $239.32 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,182 | 1,138 | $124.83 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 66 | 65 | $91.66 |
| 99173 | <1% | 910 | 879 | $26.46 |
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 officialMARTENIA, YVONNE (OWNER)