Physician
Horizon City Pediatrics PA
Horizon City Pediatrics PA was paid $3.65M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoHORIZON CITY PEDIATRICS PA
HORIZON, TX 79928
HORIZON, TX 79928
33aNPI1053574541assigned 07/06/2008
33bProvider typePediatrics Physician
28Total paid$3.65M
24GClaims121,733
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#125 of 1,136
Median peer was paid$329K
This provider vs. median11×
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 | 2,841 | $68K | |
| 2019 | 198 | $2K | |
| 2020 | 3,131 | $68K | |
| 2021 | 26,437 | $714K | |
| 2022 | 32,207 | $938K | |
| 2023 | 31,937 | $1.04M | |
| 2024incomplete | 24,982 | $820K |
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 | 27% | 27,187 | 24,267 | $981K |
| 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 | 17% | 12,418 | 11,736 | $630K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 14% | 3,648 | 3,539 | $506K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.2% | 4,005 | 3,990 | $334K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.8% | 3,737 | 3,611 | $320K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.3% | 2,926 | 2,912 | $231K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.1% | 19,308 | 10,104 | $222K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.2% | 8,088 | 7,886 | $118K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 1,513 | 1,503 | $113K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 7,243 | 6,816 | $54K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 763 | 751 | $31K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,479 | 721 | $21K |
45 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 231 | $20K |
| 90461 | <1% | 3,812 | $15K | |
| 96160 | <1% | 4,153 | $9K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 212 | $7K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 487 | $7K |
| 99381 | <1% | 55 | $4K | |
| 99383 | <1% | 43 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 160 | $4K |
| 81003 | <1% | 1,705 | $3K | |
| 69209 | <1% | 253 | $3K | |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | <1% | 104 | $2K |
| 99050 | <1% | 147 | $2K | |
| 99384 | <1% | 21 | $2K | |
| 94760 | <1% | 3,613 | $1K | |
| 17110 | <1% | 12 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 51 | $650.54 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 56 | $613.94 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $608.85 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 45 | $540.00 |
| 83655 | <1% | 13 | $109.35 | |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | <1% | 522 | $47.25 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 34 | $18.62 |
| 90648 | 0% | 499 | $0.00 | |
| 90633 | 0% | 747 | $0.00 | |
| 90715 | 0% | 332 | $0.00 | |
| 90707 | 0% | 51 | $0.00 | |
| 90734 | 0% | 505 | $0.00 | |
| 90681 | 0% | 330 | $0.00 | |
| 90670 | 0% | 775 | $0.00 | |
| 90700 | 0% | 170 | $0.00 | |
| 90671 | 0% | 432 | $0.00 | |
| 90710 | 0% | 254 | $0.00 | |
| 90661 | 0% | 820 | $0.00 | |
| 90713 | 0% | 30 | $0.00 | |
| 90680 | 0% | 131 | $0.00 | |
| 90620 | 0% | 1,021 | $0.00 | |
| 90723 | 0% | 139 | $0.00 | |
| 90744 | 0% | 165 | $0.00 | |
| 90651 | 0% | 1,446 | $0.00 | |
| 90698 | 0% | 650 | $0.00 | |
| 90619 | 0% | 567 | $0.00 | |
| 90677 | 0% | 325 | $0.00 | |
| 90686 | 0% | 4,125 | $0.00 | |
| 90696 | 0% | 135 | $0.00 | |
| 90716 | 0% | 27 | $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 officialMENDOZA, RODIN (PRESIDENT)