Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NASA CASA DE NINOS PEDIATRIC CENTER, PA

NPI: 1023329117 · HOUSTON, TX 77089 · Pediatrics Physician · NPI assigned 06/23/2010

$1.22M
Total Medicaid Paid
42,347
Total Claims
34,949
Beneficiaries
40
Codes Billed
2018-03
First Month
2023-10
Last Month

Provider Details

Authorized OfficialRIVERA-MATOS, IDALIA (PRESIDENT)
NPI Enumeration Date06/23/2010

Related Entities

Other providers sharing the same authorized official: RIVERA-MATOS, IDALIA

ProviderCityStateTotal Paid
NASA PEDIATRICS TEXAS CITY PLLC TEXAS CITY TX $617.28

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 151 $4K
2019 126 $3K
2020 3,377 $74K
2021 17,279 $489K
2022 14,797 $437K
2023 6,617 $217K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,716 11,078 $492K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,076 1,979 $179K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,482 1,390 $138K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,469 1,403 $119K
90460 Immunization administration through 18 years of age via any route, first or only component 8,010 3,835 $76K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 712 677 $55K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 890 857 $48K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,042 1,978 $30K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 765 746 $23K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 251 247 $15K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,548 1,098 $11K
90461 1,580 1,352 $10K
92552 516 485 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 333 321 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 254 154 $4K
99000 266 262 $3K
96160 1,345 1,238 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 53 53 $1K
81007 50 49 $1K
97169 68 65 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 43 41 $618.20
81002 14 13 $44.52
94760 16 15 $8.14
90686 1,559 1,535 $0.21
90620 228 209 $0.09
90651 474 447 $0.06
90734 520 489 $0.02
90715 179 169 $0.02
90647 517 499 $0.01
90696 141 125 $0.01
90670 714 685 $0.01
90633 439 418 $0.01
90700 41 41 $0.01
90680 389 378 $0.00
96127 272 269 $0.00
90723 214 211 $0.00
90698 26 26 $0.00
90716 30 24 $0.00
90710 92 76 $0.00
90707 13 12 $0.00