Physician
Rogue Valley Childrens Physicians
Rogue Valley Childrens Physicians was paid $2.29M by Medicaid between Jun 2018 and Jun 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoROGUE VALLEY CHILDRENS PHYSICIANS
MEDFORD, OR 97504
MEDFORD, OR 97504
33aNPI1558863902assigned 03/01/2018
33bProvider typePediatrics Physician
28Total paid$2.29M
24GClaims40,201
24DCodes billed35
24AFirst – last monthJun 2018 – Jun 2024
Compared with peers
Next to other Pediatrics Physician providers in Oregon
Rank by total paid#12 of 87
Median peer was paid$147K
This provider vs. median16×
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 | 5,291 | $263K | |
| 2019 | 8,507 | $458K | |
| 2020 | 6,310 | $350K | |
| 2021 | 6,318 | $377K | |
| 2022 | 6,762 | $411K | |
| 2023 | 6,092 | $368K | |
| 2024incomplete | 921 | $60K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 10,482 | 9,584 | $768K |
| 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 | 29% | 6,331 | 5,803 | $662K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 2,424 | 2,375 | $237K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.2% | 2,183 | 2,140 | $210K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.5% | 1,407 | 1,357 | $127K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.5% | 774 | 765 | $81K |
| 92551 | 2.1% | 4,418 | 4,335 | $47K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.9% | 4,561 | 4,470 | $42K |
| 90670 | <1% | 874 | 842 | $19K | |
| 90688 | <1% | 686 | 676 | $15K | |
| 99401 | <1% | 312 | 309 | $11K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 51 | 49 | $8K |
23 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 135 | $8K |
| 99173 | <1% | 2,337 | $6K | |
| 90698 | <1% | 269 | $6K | |
| 90686 | <1% | 259 | $6K | |
| 90716 | <1% | 192 | $4K | |
| 90707 | <1% | 184 | $4K | |
| 90672 | <1% | 173 | $4K | |
| 90680 | <1% | 167 | $4K | |
| 90700 | <1% | 148 | $3K | |
| 0011A | <1% | 238 | $3K | |
| 0012A | <1% | 166 | $3K | |
| 90685 | <1% | 119 | $3K | |
| 90687 | <1% | 103 | $2K | |
| 90633 | <1% | 92 | $2K | |
| 94760 | <1% | 878 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 114 | $1K |
| 90744 | <1% | 37 | $812.52 | |
| 90651 | <1% | 15 | $307.44 | |
| 90619 | <1% | 14 | $307.44 | |
| 90677 | <1% | 13 | $285.48 | |
| 90734 | <1% | 12 | $263.52 | |
| 90713 | <1% | 12 | $263.52 | |
| 96160 | <1% | 21 | $77.08 |
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 officialSULLIVAN, JERI (OFFICE MANAGER)