Children's Community Clinic

Children's Community Clinic was paid $2K by Medicaid between Jan 2018 and Oct 2020, across 9 billing codes. Its largest line is 94760, — 48% of everything it billed.

33Billing provider infoCHILDREN'S COMMUNITY CLINIC
PORTLAND, OR 97232

33aNPI1841483252assigned 08/20/2007

33bProvider typePediatrics Physician

28Total paid$2K

24GClaims1,232

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Pediatrics Physician providers in Oregon

Rank by total paid#81 of 87

Median peer was paid$147K

This provider vs. median0.0×

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	616	$832.84
2019	493	$668.22
2020	123	$311.77

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
94760		48%	311	302	$873.16
90656		34%	28	28	$614.88
90688		13%	12	12	$241.56
99173		4.6%	29	29	$83.23
90460	Immunization administration through 18 years of age via any route, first or only component	0%	14	14	$0.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	59	54	$0.00
2000F		0%	185	180	$0.00
3008F		0%	245	239	$0.00
2010F		0%	349	339	$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 officialHICKS, MARDICA (CEO)