Physician
Pediatrics Express Plus PLLC
Pediatrics Express Plus PLLC was paid $1.41M by Medicaid between Dec 2020 and Aug 2023, across 71 billing codes. Its largest line is 87635, Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe — 24% of everything it billed.
33Billing provider infoPEDIATRICS EXPRESS PLUS PLLC
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1063040152assigned 04/01/2020
33bProvider typePediatrics Physician
28Total paid$1.41M
24GClaims69,302
24DCodes billed71
24AFirst – last monthDec 2020 – Aug 2023
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#308 of 1,136
Median peer was paid$329K
This provider vs. median4.3×
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 | |
|---|---|---|---|
| 2020 | 74 | $2K | |
| 2021 | 3,598 | $80K | |
| 2022 | 35,222 | $709K | |
| 2023 | 30,408 | $615K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 24% | 7,615 | 6,195 | $341K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 9,167 | 6,709 | $284K |
| S8301 | Infection control supplies, not otherwise specified | 13% | 10,977 | 7,964 | $183K |
| 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 | 8.6% | 2,729 | 2,250 | $121K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 6.9% | 9,170 | 3,953 | $97K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.1% | 5,322 | 4,579 | $57K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.0% | 649 | 616 | $43K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 570 | 533 | $35K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 576 | 544 | $26K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 414 | 379 | $26K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 1,147 | 996 | $23K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.6% | 4,384 | 3,737 | $22K |
59 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.6% | 2,079 | $22K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 239 | $16K |
| 99383 | 1.1% | 218 | $15K | |
| 99382 | <1% | 180 | $14K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,294 | $12K |
| 87807 | <1% | 1,415 | $12K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 169 | $12K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 989 | $10K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,113 | $7K |
| 99381 | <1% | 46 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 208 | $3K |
| 99384 | <1% | 24 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 39 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 161 | $2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 174 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 116 | $1K |
| 90461 | <1% | 261 | $1K | |
| 99000 | <1% | 157 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 34 | $1K |
| 99441 | <1% | 62 | $1K | |
| 97802 | <1% | 614 | $1K | |
| 92567 | <1% | 102 | $1K | |
| 87400 | <1% | 116 | $1K | |
| 99429 | <1% | 51 | $785.68 | |
| 83655 | <1% | 98 | $774.94 | |
| 81000 | <1% | 237 | $601.47 | |
| 99050 | <1% | 44 | $582.74 | |
| 92551 | <1% | 188 | $473.86 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 601 | $433.88 |
| 99442 | <1% | 16 | $405.79 | |
| 96160 | <1% | 257 | $338.04 | |
| 92552 | <1% | 96 | $201.84 | |
| 87420 | <1% | 21 | $166.43 | |
| 87430 | <1% | 16 | $153.92 | |
| 85027 | <1% | 27 | $102.63 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 302 | $33.20 |
| 81002 | <1% | 14 | $28.92 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 133 | $3.35 |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | <1% | 407 | $0.04 |
| 90686 | <1% | 28 | $0.01 | |
| 99051 | 0% | 1,149 | $0.00 | |
| 90734 | 0% | 38 | $0.00 | |
| 90670 | 0% | 345 | $0.00 | |
| G0271 | Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes | 0% | 148 | $0.00 |
| 90710 | 0% | 73 | $0.00 | |
| 90648 | 0% | 77 | $0.00 | |
| 99173 | 0% | 106 | $0.00 | |
| 90633 | 0% | 80 | $0.00 | |
| 99401 | 0% | 821 | $0.00 | |
| 90715 | 0% | 21 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 487 | $0.00 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 344 | $0.00 |
| 90647 | 0% | 135 | $0.00 | |
| 90696 | 0% | 48 | $0.00 | |
| 90680 | 0% | 108 | $0.00 | |
| 99172 | 0% | 149 | $0.00 | |
| 90651 | 0% | 21 | $0.00 | |
| 90723 | 0% | 63 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 23 | $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 officialKINSER, JESSICA (CHIEF ADMINISTRATIVE OFFICER)