Medicaid Provider Spending

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

AIRLINE PEDIATRICS, P.A.

NPI: 1073644852 · VICTORIA, TX 77901 · Pediatrics Physician · NPI assigned 03/07/2007

$1.47M
Total Medicaid Paid
85,481
Total Claims
71,215
Beneficiaries
56
Codes Billed
2020-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPATHIKONDA, SURESH (OWNER)
NPI Enumeration Date03/07/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 3,806 $71K
2021 17,726 $292K
2022 22,652 $331K
2023 23,465 $414K
2024 17,832 $360K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,932 15,204 $239K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,566 2,550 $215K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,045 2,037 $196K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,187 2,182 $196K
90460 Immunization administration through 18 years of age via any route, first or only component 14,996 6,566 $176K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,072 2,052 $171K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,104 1,986 $67K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,267 3,395 $37K
S8301 Infection control supplies, not otherwise specified 10,870 9,555 $32K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,942 3,866 $29K
99381 161 159 $14K
99050 308 300 $13K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,516 1,348 $13K
90461 3,670 3,211 $12K
87428 203 198 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,281 635 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 136 134 $7K
83655 580 577 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 477 465 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 159 153 $4K
99429 127 125 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 122 121 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 682 664 $3K
96160 1,401 1,391 $3K
99384 13 13 $1K
87807 169 163 $905.80
0071A 16 15 $676.00
0072A 13 13 $588.00
99000 129 126 $510.84
90651 652 649 $298.26
90620 125 125 $245.14
90688 1,185 1,178 $100.69
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 27 26 $71.96
90671 565 563 $41.00
90686 1,877 1,865 $31.00
90619 266 263 $14.00
85018 138 136 $4.63
90381 12 12 $0.35
90697 656 656 $0.00
90680 923 923 $0.00
90716 508 504 $0.00
36416 761 499 $0.00
90723 379 379 $0.00
96127 104 103 $0.00
91307 49 39 $0.00
90698 14 14 $0.00
90677 26 25 $0.00
90713 98 98 $0.00
90670 1,149 1,148 $0.00
90734 191 191 $0.00
90633 672 668 $0.00
90648 671 669 $0.00
90700 498 496 $0.00
90707 527 524 $0.00
90715 66 66 $0.00
99051 198 192 $0.00