Medicaid Provider Spending

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

TROPHY CLUB PEDIATRICS PA

NPI: 1083034839 · TROPHY CLUB, TX 76262 · Primary Care Clinic/Center · NPI assigned 04/21/2014

$2.08M
Total Medicaid Paid
80,049
Total Claims
63,701
Beneficiaries
51
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialONYEAMA, CHARLES (PEDIATRICIAN)
NPI Enumeration Date04/21/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 14,484 $392K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,565 7,417 $424K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,746 3,712 $290K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,195 6,569 $255K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,949 2,902 $222K
90460 Immunization administration through 18 years of age via any route, first or only component 18,692 7,986 $196K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,311 2,298 $191K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,213 1,204 $108K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,100 2,030 $87K
99383 634 627 $56K
99381 632 621 $50K
99382 405 400 $36K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,673 1,296 $35K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,880 2,663 $32K
90461 5,243 4,457 $23K
99429 611 603 $21K
99384 194 192 $19K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 713 695 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 239 232 $5K
87807 443 421 $5K
0071A 104 100 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 56 53 $3K
0072A 81 79 $3K
54162 15 12 $2K
99215 Prolong outpt/office vis 31 27 $2K
99000 160 155 $1K
90472 Immunization administration, each additional vaccine (list separately) 117 71 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 90 89 $1K
99050 71 71 $1K
92551 70 67 $529.49
96160 228 226 $445.13
G8510 Screening for depression is documented as negative, a follow-up plan is not required 38 38 $323.70
90677 576 574 $2.64
90619 228 225 $0.90
90686 2,368 2,342 $0.02
90651 656 651 $0.00
90723 1,316 1,309 $0.00
90696 403 395 $0.00
90716 453 451 $0.00
90698 439 435 $0.00
90680 1,740 1,724 $0.00
91307 61 56 $0.00
90648 1,922 1,902 $0.00
90710 681 671 $0.00
90707 432 430 $0.00
90633 1,598 1,585 $0.00
90700 620 616 $0.00
90670 2,134 2,108 $0.00
90715 191 187 $0.00
90734 166 164 $0.00
90658 521 520 $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) 45 43 $0.00