Clinic
Trophy Club Pediatrics PA
Trophy Club Pediatrics PA was paid $2.08M by Medicaid between Oct 2018 and Dec 2024, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
33Billing provider infoTROPHY CLUB PEDIATRICS PA
TROPHY CLUB, TX 76262
TROPHY CLUB, TX 76262
33aNPI1083034839assigned 04/21/2014
33bProvider typePrimary Care Clinic/Center
28Total paid$2.08M
24GClaims80,049
24DCodes billed51
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Texas
Rank by total paid#7 of 180
Median peer was paid$25K
This provider vs. median83×
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 | 27 | $211.68 | |
| 2019 | 13 | $464.82 | |
| 2020 | 3,790 | $73K | |
| 2021 | 20,284 | $526K | |
| 2022 | 22,304 | $589K | |
| 2023 | 19,147 | $502K | |
| 2024incomplete | 14,484 | $392K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 20% | 8,565 | 7,417 | $424K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 3,746 | 3,712 | $290K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 7,195 | 6,569 | $255K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 2,949 | 2,902 | $222K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.4% | 18,692 | 7,986 | $196K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.2% | 2,311 | 2,298 | $191K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.2% | 1,213 | 1,204 | $108K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.2% | 2,100 | 2,030 | $87K |
| 99383 | 2.7% | 634 | 627 | $56K | |
| 99381 | 2.4% | 632 | 621 | $50K | |
| 99382 | 1.7% | 405 | 400 | $36K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 2,673 | 1,296 | $35K |
39 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 3,880 | $32K |
| 90461 | 1.1% | 5,243 | $23K | |
| 99429 | <1% | 611 | $21K | |
| 99384 | <1% | 194 | $19K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 713 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 239 | $5K |
| 87807 | <1% | 443 | $5K | |
| 0071A | <1% | 104 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 56 | $3K |
| 0072A | <1% | 81 | $3K | |
| 54162 | <1% | 15 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 31 | $2K |
| 99000 | <1% | 160 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 117 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 90 | $1K |
| 99050 | <1% | 71 | $1K | |
| 92551 | <1% | 70 | $529.49 | |
| 96160 | <1% | 228 | $445.13 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 38 | $323.70 |
| 90677 | <1% | 576 | $2.64 | |
| 90619 | <1% | 228 | $0.90 | |
| 90686 | <1% | 2,368 | $0.02 | |
| 90651 | 0% | 656 | $0.00 | |
| 90723 | 0% | 1,316 | $0.00 | |
| 90696 | 0% | 403 | $0.00 | |
| 90716 | 0% | 453 | $0.00 | |
| 90698 | 0% | 439 | $0.00 | |
| 90680 | 0% | 1,740 | $0.00 | |
| 91307 | 0% | 61 | $0.00 | |
| 90648 | 0% | 1,922 | $0.00 | |
| 90710 | 0% | 681 | $0.00 | |
| 90707 | 0% | 432 | $0.00 | |
| 90633 | 0% | 1,598 | $0.00 | |
| 90700 | 0% | 620 | $0.00 | |
| 90670 | 0% | 2,134 | $0.00 | |
| 90715 | 0% | 191 | $0.00 | |
| 90734 | 0% | 166 | $0.00 | |
| 90658 | 0% | 521 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 45 | $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 officialONYEAMA, CHARLES (PEDIATRICIAN)