Clinic
Childrens Health Center, P.A.
Childrens Health Center, P.A. was paid $1.22M by Medicaid between Apr 2020 and Dec 2024, across 38 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 28% of everything it billed.
33Billing provider infoCHILDRENS HEALTH CENTER, P.A.
MARBLE FALLS, TX 78654
MARBLE FALLS, TX 78654
33aNPI1073898920assigned 10/11/2011
33bProvider typePrimary Care Clinic/Center
28Total paid$1.22M
24GClaims46,398
24DCodes billed38
24AFirst – last monthApr 2020 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Texas
Rank by total paid#16 of 180
Median peer was paid$25K
This provider vs. median48×
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 | 2,704 | $63K | |
| 2021 | 12,273 | $292K | |
| 2022 | 13,383 | $326K | |
| 2023 | 11,320 | $333K | |
| 2024incomplete | 6,718 | $202K |
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 | 28% | 4,971 | 4,218 | $335K |
| 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 | 23% | 5,833 | 5,084 | $283K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.9% | 1,212 | 1,165 | $96K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.4% | 1,128 | 1,096 | $90K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.4% | 7,518 | 4,073 | $78K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.3% | 981 | 969 | $76K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.7% | 617 | 596 | $45K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.0% | 1,495 | 1,421 | $36K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 2.8% | 249 | 236 | $34K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.2% | 2,064 | 1,887 | $27K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.1% | 531 | 503 | $26K |
| S8301 | Infection control supplies, not otherwise specified | 1.6% | 5,401 | 4,416 | $20K |
26 more codes
| 99417 | Prolong home eval add 15m | 1.5% | 1,640 | $19K |
| 99213 | Doctor's office visit, returning patient (routine) | 1.2% | 402 | $15K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,418 | $11K |
| 99000 | <1% | 988 | $6K | |
| 90461 | <1% | 869 | $6K | |
| 99354 | <1% | 92 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 172 | $2K |
| 96160 | <1% | 1,529 | $2K | |
| 80305 | <1% | 188 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 123 | $2K |
| 90836 | <1% | 116 | $1K | |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | <1% | 483 | $375.00 |
| 90672 | <1% | 937 | $101.16 | |
| 90686 | <1% | 2,119 | $53.69 | |
| 90670 | 0% | 534 | $0.00 | |
| 90734 | 0% | 72 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,801 | $0.00 |
| 90620 | 0% | 84 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 526 | $0.00 |
| 90647 | 0% | 12 | $0.00 | |
| 90651 | 0% | 151 | $0.00 | |
| 90680 | 0% | 25 | $0.00 | |
| 90698 | 0% | 15 | $0.00 | |
| 90619 | 0% | 43 | $0.00 | |
| 96127 | 0% | 47 | $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 officialTHOMAS, SANDRA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| School Administrative District No 28 | Camden, ME | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.