Clinic
Pediatric Specialists of Pendleton, LLC
Pediatric Specialists of Pendleton, LLC was paid $778K by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoPEDIATRIC SPECIALISTS OF PENDLETON, LLC
PENDLETON, OR 97801
PENDLETON, OR 97801
33aNPI1952630576assigned 12/10/2009
33bProvider typeRural Health Clinic/Center
28Total paid$778K
24GClaims57,106
24DCodes billed39
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Oregon
Rank by total paid#22 of 65
Median peer was paid$295K
This provider vs. median2.6×
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 | 8,298 | $190K | |
| 2019 | 8,038 | $110K | |
| 2020 | 7,529 | $113K | |
| 2021 | 9,428 | $137K | |
| 2022 | 10,049 | $106K | |
| 2023 | 8,511 | $82K | |
| 2024incomplete | 5,253 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45% | 15,109 | 13,428 | $347K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 3,842 | 3,702 | $94K |
| 90686 | 6.7% | 2,839 | 2,766 | $52K | |
| 90670 | 6.1% | 2,545 | 2,487 | $48K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.4% | 3,640 | 3,516 | $42K |
| 90647 | 3.7% | 1,556 | 1,522 | $29K | |
| 90723 | 3.6% | 1,518 | 1,476 | $28K | |
| 90680 | 3.1% | 1,266 | 1,237 | $24K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.4% | 1,613 | 1,564 | $18K |
| 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% | 867 | 786 | $17K |
| 96160 | 2.2% | 4,880 | 4,661 | $17K | |
| 90685 | 1.4% | 560 | 550 | $11K |
27 more codes
| 99381 | 1.0% | 87 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 135 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 345 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 833 | $5K |
| 90633 | <1% | 218 | $4K | |
| 90672 | <1% | 184 | $3K | |
| 87428 | <1% | 91 | $3K | |
| 0072A | <1% | 70 | $2K | |
| 90710 | <1% | 102 | $2K | |
| 0071A | <1% | 50 | $2K | |
| 0001A | <1% | 45 | $2K | |
| 0002A | <1% | 45 | $2K | |
| 90677 | <1% | 68 | $1K | |
| 90651 | <1% | 28 | $560.48 | |
| 90660 | <1% | 21 | $395.28 | |
| 96127 | <1% | 108 | $379.61 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 32 | $287.75 |
| 99173 | <1% | 2,227 | $227.34 | |
| 90700 | <1% | 13 | $219.60 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 152 | $207.11 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 26 | $42.06 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 16 | $40.00 |
| 94760 | <1% | 10,247 | $6.60 | |
| 99174 | <1% | 518 | $5.74 | |
| 99072 | <1% | 1,137 | $5.00 | |
| 85018 | 0% | 13 | $0.00 | |
| 99188 | 0% | 60 | $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 officialPLATT, SUSAN (OFFICE MANAGER)