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

Velez Pediatrics, PLLC

Velez Pediatrics, PLLC was paid $7.86M by Medicaid between Oct 2019 and Dec 2024, across 65 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.

33Billing provider infoVELEZ PEDIATRICS, PLLC
DALLAS, TX 75208
33aNPI1003397613assigned 08/22/2018
33bProvider typePediatrics Physician
28Total paid$7.86M
24GClaims227,281
24DCodes billed65
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#41 of 1,136
Median peer was paid$329K
This provider vs. median24×

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$200K$400K2018201920202021202220232024
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
201932$141.12
20205,190$166K
202142,290$1.38M
202264,079$2.14M
202361,564$2.25M
2024incomplete54,126$1.93M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 21% 30,983 26,976 $1.62M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 18% 17,178 15,803 $1.38M
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 14% 24,430 22,060 $1.07M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.6% 18,189 16,298 $675K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.3% 5,305 5,277 $419K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.4% 4,202 4,184 $350K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.8% 3,283 3,274 $299K
90460 Immunization administration through 18 years of age via any route, first or only component 3.6% 25,121 12,311 $283K
87634 3.1% 4,157 3,803 $245K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.8% 2,829 2,824 $221K
99429 2.4% 5,783 5,749 $192K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.2% 2,810 2,799 $171K
53 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.1% 12,219 $168K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.5% 8,595 $119K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.4% 2,113 $107K
99383 <1% 849 $76K
87428 <1% 1,131 $71K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 7,882 $65K
99382 <1% 671 $61K
99381 <1% 708 $60K
99384 <1% 611 $59K
99050 <1% 2,482 $37K
90461 <1% 6,658 $24K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 842 $22K
83655 <1% 1,528 $16K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 658 $8K
96160 <1% 4,375 $7K
92567 <1% 481 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 440 $5K
97803 <1% 1,239 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 37 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 259 $3K
17110 <1% 27 $3K
81003 <1% 1,133 $2K
S9451 Exercise classes, non-physician provider, per session <1% 1,240 $2K
69210 <1% 44 $2K
99204 Doctor's office visit, new patient (more involved) <1% 16 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 46 $1K
87807 <1% 129 $1K
97169 <1% 80 $800.00
94760 <1% 1,343 $577.46
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 12 $535.80
94761 <1% 269 $458.71
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 254 $72.48
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 122 $18.19
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 254 $11.25
90734 0% 1,483 $0.00
90715 0% 715 $0.00
90648 0% 2,330 $0.00
90633 0% 1,989 $0.00
90710 0% 1,826 $0.00
90672 0% 385 $0.00
90670 0% 2,137 $0.00
90700 0% 859 $0.00
90696 0% 748 $0.00
90651 0% 1,208 $0.00
90680 0% 1,910 $0.00
90620 0% 1,130 $0.00
90698 0% 655 $0.00
90381 0% 13 $0.00
90723 0% 1,416 $0.00
90686 0% 3,560 $0.00
90677 0% 925 $0.00
90660 0% 311 $0.00
90656 0% 664 $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 officialVELEZ, EDUARDO (MD)