NP / PA
Rogue Valley Physicians
Rogue Valley Physicians was paid $3.56M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoROGUE VALLEY PHYSICIANS
MEDFORD, OR 97504
MEDFORD, OR 97504
33aNPI1699761932assigned 09/22/2005
33bProvider typePrimary Care Nurse Practitioner
28Total paid$3.56M
24GClaims64,329
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Nurse Practitioner providers in Oregon
Rank by total paid#1 of 8
Median peer was paid$4K
This provider vs. median821×
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 | 14,441 | $781K | |
| 2019 | 10,339 | $571K | |
| 2020 | 9,293 | $494K | |
| 2021 | 8,089 | $481K | |
| 2022 | 9,497 | $534K | |
| 2023 | 9,461 | $499K | |
| 2024incomplete | 3,209 | $196K |
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 | 50% | 20,081 | 17,891 | $1.78M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 20,854 | 18,572 | $1.43M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.3% | 1,762 | 1,178 | $152K |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,665 | 7,882 | $19K |
| 90686 | <1% | 805 | 793 | $16K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 167 | 165 | $16K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 149 | 148 | $15K |
| 80053 | Comprehensive metabolic panel | <1% | 2,426 | 2,276 | $15K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,235 | 1,164 | $11K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 977 | 926 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 88 | 88 | $9K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 250 | 231 | $9K |
46 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,705 | $8K |
| 99349 | <1% | 168 | $7K | |
| 99442 | <1% | 74 | $6K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 37 | $4K |
| 96127 | <1% | 1,187 | $4K | |
| 99441 | <1% | 64 | $4K | |
| 99205 | Prolong outpt/office vis | <1% | 26 | $4K |
| 90670 | <1% | 144 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 45 | $3K |
| 73564 | <1% | 113 | $2K | |
| 80061 | Lipid panel | <1% | 215 | $2K |
| 90698 | <1% | 80 | $2K | |
| 92551 | <1% | 137 | $2K | |
| D0190 | <1% | 133 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $1K |
| 95250 | <1% | 13 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 102 | $1K |
| 80305 | <1% | 135 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 75 | $1K |
| 90682 | <1% | 36 | $1K | |
| 90680 | <1% | 46 | $1K | |
| 84439 | <1% | 200 | $947.60 | |
| 94760 | <1% | 329 | $930.79 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 41 | $918.21 |
| 99173 | <1% | 400 | $868.44 | |
| 90716 | <1% | 29 | $729.92 | |
| 90688 | <1% | 48 | $698.34 | |
| 90707 | <1% | 29 | $636.84 | |
| 82728 | <1% | 62 | $597.97 | |
| 90744 | <1% | 25 | $549.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 41 | $516.09 |
| 0011A | <1% | 14 | $440.00 | |
| 96160 | <1% | 542 | $439.18 | |
| 92567 | <1% | 31 | $427.45 | |
| 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% | 99 | $394.29 |
| 81003 | <1% | 213 | $366.93 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 28 | $324.52 |
| 90633 | <1% | 14 | $307.44 | |
| 87428 | <1% | 14 | $303.24 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 58 | $271.19 |
| 82607 | <1% | 31 | $264.00 | |
| 73030 | <1% | 15 | $197.90 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $189.38 |
| 85027 | <1% | 15 | $49.83 | |
| G0008 | Administration of influenza virus vaccine | <1% | 17 | $28.36 |
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 officialSLOAN, WILLIAM (CFO)