Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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David E Bilstrom MD, PC

David E Bilstrom MD, PC was paid $240K by Medicaid between Jan 2018 and Feb 2023, across 7 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 61% of everything it billed.

33Billing provider infoDAVID E BILSTROM MD, PC
PORTLAND, OR 97223
33aNPI1881867539assigned 04/02/2008
33bProvider typeSpecialist
28Total paid$240K
24GClaims3,406
24DCodes billed7
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers

Next to other Specialist providers in Oregon

Rank by total paid#22 of 85
Median peer was paid$36K
This provider vs. median6.7×

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$5.0K$10K$15K2018201920202021202220232024
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
2018947$70K
20191,116$70K
2020402$25K
2021328$35K
2022559$40K
202354$342.60
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 61% 944 920 $147K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 14% 492 480 $33K
99205 Prolong outpt/office vis 13% 176 166 $31K
94375 6.3% 423 406 $15K
95115 3.3% 1,302 636 $8K
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 1.7% 41 38 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 28 27 $2K

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 officialBILSTROM, DAVID (PRESIDENT)