Physician
Pediatric Associates of Gresham PC
Pediatric Associates of Gresham PC was paid $591K by Medicaid between Jan 2018 and Apr 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES OF GRESHAM PC
GRESHAM, OR 97030
GRESHAM, OR 97030
33aNPI1568592913assigned 03/06/2007
33bProvider typePediatrics Physician
28Total paid$591K
24GClaims12,065
24DCodes billed23
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Pediatrics Physician providers in Oregon
Rank by total paid#28 of 87
Median peer was paid$147K
This provider vs. median4.0×
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
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 | 2,473 | $131K | |
| 2019 | 2,561 | $145K | |
| 2020 | 1,189 | $71K | |
| 2021 | 1,460 | $53K | |
| 2022 | 1,334 | $28K | |
| 2023 | 2,243 | $115K | |
| 2024incomplete | 805 | $48K |
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 | 38% | 4,755 | 4,418 | $224K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 20% | 1,082 | 1,067 | $118K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 848 | 837 | $87K |
| 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 | 14% | 1,219 | 1,167 | $82K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.0% | 356 | 319 | $30K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.7% | 188 | 185 | $22K |
| 90686 | 2.6% | 980 | 970 | $15K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 274 | 270 | $2K |
| 90698 | <1% | 112 | 111 | $2K | |
| 90685 | <1% | 96 | 96 | $2K | |
| 90670 | <1% | 67 | 67 | $1K | |
| 85018 | <1% | 680 | 669 | $1K |
11 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 114 | $1K |
| 96160 | <1% | 245 | $615.14 | |
| 90710 | <1% | 27 | $592.92 | |
| 90680 | <1% | 17 | $351.36 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 22 | $289.30 |
| 90633 | <1% | 13 | $285.48 | |
| 90744 | <1% | 12 | $263.52 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 704 | $197.55 |
| 81000 | <1% | 54 | $186.58 | |
| 90461 | <1% | 149 | $109.80 | |
| 91307 | 0% | 51 | $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 officialEKI, NORMAN (PRESIDENT)