Physician
Siskiyou Pediatric Clinic, LLP
Siskiyou Pediatric Clinic, LLP was paid $891K by Medicaid between Jan 2018 and Nov 2024, across 44 billing codes. Its largest line is 0241U, Neonatal screening for hereditary disorders, genomic sequence analysis panel — 42% of everything it billed.
33Billing provider infoSISKIYOU PEDIATRIC CLINIC, LLP
GRANTS PASS, OR 97527
GRANTS PASS, OR 97527
33aNPI1700999521assigned 08/16/2006
33bProvider typePediatrics Physician
28Total paid$891K
24GClaims110,523
24DCodes billed44
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Oregon
Rank by total paid#20 of 87
Median peer was paid$147K
This provider vs. median6.1×
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 | 12,130 | $77K | |
| 2019 | 15,328 | $68K | |
| 2020 | 11,130 | $61K | |
| 2021 | 15,530 | $123K | |
| 2022 | 19,270 | $301K | |
| 2023 | 18,899 | $153K | |
| 2024incomplete | 18,236 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 42% | 3,650 | 3,440 | $370K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 25,581 | 23,599 | $144K |
| D0191 | 15% | 11,482 | 11,211 | $133K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 7,275 | 6,665 | $101K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 6,122 | 5,973 | $35K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.1% | 5,147 | 5,013 | $28K |
| 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 | 2.2% | 5,452 | 5,143 | $20K |
| D1206 | Topical application of fluoride varnish | 1.5% | 1,084 | 1,062 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 1,955 | 1,848 | $10K |
| 90670 | <1% | 1,916 | 1,864 | $5K | |
| 90686 | <1% | 2,163 | 2,130 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 740 | 722 | $5K |
32 more codes
| 90723 | <1% | 897 | $4K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 61 | $4K |
| 90647 | <1% | 860 | $3K | |
| 90680 | <1% | 805 | $3K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 144 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 149 | $2K |
| 90633 | <1% | 221 | $731.12 | |
| 83655 | <1% | 385 | $274.68 | |
| 99383 | <1% | 24 | $202.51 | |
| 92551 | <1% | 8,298 | $68.06 | |
| 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% | 2,124 | $67.68 |
| 90677 | <1% | 248 | $65.88 | |
| 96160 | <1% | 2,097 | $60.43 | |
| 85018 | <1% | 553 | $55.13 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,605 | $27.32 |
| 96127 | <1% | 146 | $20.10 | |
| 96161 | <1% | 3,291 | $16.68 | |
| 99173 | <1% | 3,434 | $5.48 | |
| 94760 | 0% | 5,014 | $0.00 | |
| 36416 | 0% | 1,945 | $0.00 | |
| 90698 | 0% | 344 | $0.00 | |
| 90656 | 0% | 90 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 161 | $0.00 |
| 90651 | 0% | 70 | $0.00 | |
| 90744 | 0% | 167 | $0.00 | |
| 3008F | 0% | 12 | $0.00 | |
| 99177 | 0% | 2,191 | $0.00 | |
| 90685 | 0% | 256 | $0.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 63 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 259 | $0.00 |
| 90672 | 0% | 13 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 29 | $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 officialCRISPEN, CHARLES (OWNER/PHYSICIAN)