Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Nicola J Cherry MD LLC

Nicola J Cherry MD LLC was paid $258K by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 90686, — 11% of everything it billed.

33Billing provider infoNICOLA J CHERRY MD LLC
KLAMATH FALLS, OR 97601
33aNPI1760415525assigned 07/07/2006
33bProvider typePediatrics Physician
28Total paid$258K
24GClaims32,210
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Oregon

Rank by total paid#38 of 87
Median peer was paid$147K
This provider vs. median1.8×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20184,963$41K
20195,026$42K
20204,668$37K
20215,993$50K
20225,187$40K
20233,458$28K
2024incomplete2,915$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90686 11% 1,593 1,540 $29K
90670 9.5% 1,351 1,311 $25K
96110 Developmental screening, with scoring and documentation, per standardized instrument 8.4% 1,819 1,479 $22K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7.8% 2,596 2,218 $20K
90680 7.5% 1,080 1,037 $19K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.3% 4,330 3,826 $16K
90698 5.6% 797 771 $14K
96160 5.3% 3,604 1,979 $14K
96127 4.7% 2,197 2,129 $12K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.4% 2,409 2,330 $11K
92558 4.2% 1,012 989 $11K
90633 2.9% 417 408 $8K
26 more codes
90744 2.9% 409 $8K
90671 2.2% 345 $6K
99188 2.2% 534 $6K
96161 2.2% 1,809 $6K
90685 1.9% 286 $5K
99214 Doctor's office visit, returning patient (more involved) 1.8% 734 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.5% 1,574 $4K
90707 1.4% 204 $4K
90716 1.4% 202 $4K
90697 <1% 137 $2K
99173 <1% 455 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 378 $2K
90656 <1% 75 $1K
90651 <1% 73 $1K
99238 Hospital discharge day management, 30 minutes or less <1% 30 $1K
90734 <1% 43 $800.59
90700 <1% 41 $725.91
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 52 $288.82
90620 <1% 15 $283.34
90696 <1% 14 $271.25
90715 <1% 13 $242.71
99174 <1% 806 $109.90
36416 <1% 115 $62.30
85018 <1% 29 $46.08
36415 Collection of venous blood by venipuncture <1% 180 $45.00
3008F 0% 452 $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 officialCHERRY, NICOLA (OWNER)