Physician
Pediatric Center LTD LLP
Pediatric Center LTD LLP was paid $17.13M by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 34% of everything it billed.
33Billing provider infoPEDIATRIC CENTER LTD LLP
RICHMOND, TX 77469
RICHMOND, TX 77469
33aNPI1053492306assigned 10/17/2006
33bProvider typePediatrics Physician
28Total paid$17.13M
24GClaims502,853
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#12 of 1,136
Median peer was paid$329K
This provider vs. median52×
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 | 1,178 | $28K | |
| 2019 | 1,222 | $32K | |
| 2020 | 23,113 | $769K | |
| 2021 | 116,074 | $4.42M | |
| 2022 | 134,418 | $5.04M | |
| 2023 | 116,473 | $3.95M | |
| 2024incomplete | 110,375 | $2.89M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 34% | 67,309 | 61,557 | $5.88M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 59,085 | 54,247 | $2.27M |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 8.2% | 25,609 | 24,116 | $1.41M |
| 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 | 6.7% | 21,076 | 18,313 | $1.14M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.6% | 10,497 | 10,140 | $957K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 10,756 | 10,371 | $916K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.3% | 59,037 | 28,999 | $905K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 9,932 | 9,111 | $794K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.5% | 7,811 | 7,549 | $770K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.3% | 49,075 | 20,042 | $558K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.2% | 9,411 | 7,867 | $382K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 21,131 | 19,745 | $307K |
80 more codes
| 99381 | <1% | 1,422 | $96K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 15,477 | $88K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,427 | $87K |
| 99205 | Prolong outpt/office vis | <1% | 461 | $53K |
| 90461 | <1% | 7,771 | $47K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,908 | $47K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 456 | $44K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 628 | $39K |
| 87807 | <1% | 3,587 | $39K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,807 | $37K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,008 | $28K |
| 0072A | <1% | 680 | $26K | |
| 0071A | <1% | 642 | $23K | |
| 0001A | <1% | 578 | $21K | |
| 92587 | <1% | 5,812 | $20K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 170 | $16K |
| 97169 | <1% | 564 | $15K | |
| 0002A | <1% | 376 | $15K | |
| 99383 | <1% | 147 | $15K | |
| 96160 | <1% | 9,196 | $13K | |
| 99384 | <1% | 93 | $10K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,015 | $9K |
| 86580 | <1% | 770 | $6K | |
| 99000 | <1% | 720 | $6K | |
| 99382 | <1% | 55 | $5K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 445 | $5K |
| 0054A | <1% | 152 | $5K | |
| 90473 | <1% | 345 | $4K | |
| 0052A | <1% | 95 | $3K | |
| 81002 | <1% | 1,006 | $3K | |
| 92015 | Determination of refractive state | <1% | 6,828 | $3K |
| 0081A | <1% | 62 | $2K | |
| 0074A | <1% | 54 | $2K | |
| 0082A | <1% | 42 | $2K | |
| 99050 | <1% | 72 | $1K | |
| 81003 | <1% | 438 | $794.74 | |
| 90674 | <1% | 1,849 | $602.50 | |
| 0073A | <1% | 15 | $544.68 | |
| 0051A | <1% | 20 | $517.16 | |
| 0083A | <1% | 12 | $480.00 | |
| 0003A | <1% | 12 | $480.00 | |
| 69209 | <1% | 28 | $335.53 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 46 | $226.57 |
| 90619 | <1% | 2,085 | $150.39 | |
| 94760 | <1% | 219 | $115.94 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 13,709 | $33.35 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 442 | $8.00 |
| 90697 | <1% | 3,011 | $3.83 | |
| 90671 | <1% | 3,316 | $3.72 | |
| 91307 | <1% | 1,493 | $1.99 | |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | <1% | 845 | $0.78 |
| 91305 | <1% | 378 | $0.62 | |
| 90620 | <1% | 1,648 | $0.62 | |
| 90651 | <1% | 3,700 | $0.49 | |
| 90686 | <1% | 5,321 | $0.47 | |
| 91308 | <1% | 150 | $0.13 | |
| 90734 | <1% | 1,061 | $0.13 | |
| 91300 | <1% | 1,021 | $0.09 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 10,424 | $0.08 |
| 90672 | <1% | 103 | $0.01 | |
| 90715 | <1% | 1,711 | $0.01 | |
| 90696 | 0% | 1,443 | $0.00 | |
| 90698 | 0% | 939 | $0.00 | |
| 90723 | 0% | 1,278 | $0.00 | |
| 90680 | 0% | 3,907 | $0.00 | |
| 90716 | 0% | 1,366 | $0.00 | |
| 90657 | 0% | 702 | $0.00 | |
| J7609 | Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg | 0% | 376 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 82 | $0.00 |
| 90744 | 0% | 24 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 15 | $0.00 |
| 90633 | 0% | 3,666 | $0.00 | |
| 90707 | 0% | 1,370 | $0.00 | |
| 90670 | 0% | 4,213 | $0.00 | |
| 90700 | 0% | 417 | $0.00 | |
| 90710 | 0% | 1,482 | $0.00 | |
| 90648 | 0% | 2,051 | $0.00 | |
| 1033F | 0% | 729 | $0.00 | |
| 90681 | 0% | 124 | $0.00 | |
| 90380 | 0% | 12 | $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 officialBORNSTEIN, MICHAEL (OWNER)