Physician
Sanford World Clinics
Sanford World Clinics was paid $709K by Medicaid between Jan 2018 and Nov 2024, across 54 billing codes. Its largest line is 96110, Developmental screening, with scoring and documentation, per standardized instrument — 20% of everything it billed.
33Billing provider infoSANFORD WORLD CLINICS
KLAMATH FALLS, OR 97601
KLAMATH FALLS, OR 97601
33aNPI1720337504assigned 09/07/2012
33bProvider typePediatrics Physician
28Total paid$709K
24GClaims82,650
24DCodes billed54
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Oregon
Rank by total paid#25 of 87
Median peer was paid$147K
This provider vs. median4.8×
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 | 14,933 | $132K | |
| 2019 | 16,388 | $147K | |
| 2020 | 12,642 | $111K | |
| 2021 | 12,996 | $124K | |
| 2022 | 10,499 | $86K | |
| 2023 | 7,472 | $53K | |
| 2024incomplete | 7,720 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 20% | 10,471 | 10,298 | $138K |
| 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% | 31,606 | 29,362 | $114K |
| 90686 | 11% | 4,426 | 4,317 | $78K | |
| 90670 | 11% | 4,214 | 4,128 | $75K | |
| 90698 | 7.9% | 3,114 | 3,050 | $56K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.6% | 6,592 | 6,064 | $47K |
| 90680 | 4.3% | 1,726 | 1,685 | $31K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.1% | 6,114 | 5,980 | $22K |
| 90633 | 2.7% | 1,054 | 1,033 | $19K | |
| 90744 | 2.6% | 1,018 | 985 | $18K | |
| 90685 | 2.3% | 910 | 884 | $16K | |
| 99188 | 1.8% | 1,166 | 1,150 | $12K |
42 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 1.7% | 2,443 | $12K |
| 90651 | 1.2% | 487 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 901 | $8K |
| 90671 | 1.1% | 423 | $8K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,047 | $7K |
| 90656 | <1% | 271 | $5K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 14 | $3K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 33 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 529 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 44 | $2K |
| 90697 | <1% | 123 | $2K | |
| 90734 | <1% | 128 | $2K | |
| 0002A | <1% | 48 | $2K | |
| 99381 | <1% | 137 | $2K | |
| 90710 | <1% | 95 | $2K | |
| 90688 | <1% | 86 | $2K | |
| 92558 | <1% | 140 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 321 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 614 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 344 | $1K |
| 90707 | <1% | 69 | $1K | |
| 90715 | <1% | 68 | $1K | |
| 90716 | <1% | 57 | $1K | |
| 90696 | <1% | 52 | $974.13 | |
| 0001A | <1% | 24 | $920.00 | |
| 0071A | <1% | 20 | $560.00 | |
| 0072A | <1% | 16 | $520.00 | |
| 90619 | <1% | 20 | $386.56 | |
| 99382 | <1% | 120 | $356.83 | |
| 99173 | <1% | 103 | $337.82 | |
| 99383 | <1% | 81 | $279.30 | |
| 90700 | <1% | 13 | $249.29 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 21 | $244.76 |
| 87807 | <1% | 15 | $136.08 | |
| 99384 | <1% | 79 | $105.13 | |
| 81002 | <1% | 28 | $59.07 | |
| 96160 | <1% | 16 | $46.26 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 36 | $26.82 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $17.68 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 13 | $0.00 |
| 91300 | 0% | 103 | $0.00 | |
| 91307 | 0% | 42 | $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 officialGOETSCH, STEVE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Sanford Clinic | Sioux Falls, SD | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.