Medicaid Provider Spending

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

JACOB PEDIATRICS PLLC

NPI: 1083059505 · IRVING, TX 75061 · Pediatrics Physician · NPI assigned 05/10/2013

$2.06M
Total Medicaid Paid
96,060
Total Claims
78,479
Beneficiaries
62
Codes Billed
2020-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJACOB-PARAYIL, ANITA (PRESIDENT)
NPI Enumeration Date05/10/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 4,067 $82K
2021 22,073 $428K
2022 24,318 $539K
2023 26,828 $585K
2024 18,774 $423K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,427 11,099 $572K
99215 Prolong outpt/office vis 3,644 3,507 $253K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,285 3,184 $245K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,558 2,502 $204K
90460 Immunization administration through 18 years of age via any route, first or only component 16,089 7,103 $177K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,019 4,760 $160K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,463 1,409 $107K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,192 1,175 $105K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,336 4,957 $47K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,688 1,299 $36K
92587 4,767 4,661 $32K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,621 1,566 $24K
90461 5,994 3,141 $14K
87807 1,183 1,087 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 937 891 $11K
83655 1,012 970 $10K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 245 236 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 104 104 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 568 543 $8K
0001A 174 169 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 82 82 $4K
0002A 69 68 $2K
99050 127 126 $2K
94664 137 136 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 24 17 $1K
99383 14 14 $1K
99382 12 12 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 129 128 $880.36
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 409 395 $673.88
87634 15 15 $589.70
88738 243 234 $518.00
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 22 14 $458.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg 910 863 $180.24
90670 1,431 1,400 $165.33
96127 326 322 $66.50
99188 13 13 $63.00
97170 12 12 $50.00
81003 17 16 $32.13
36415 Collection of venous blood by venipuncture 1,102 1,078 $17.53
90677 486 482 $12.33
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 299 283 $11.44
99173 5,330 5,197 $8.75
90686 3,292 3,194 $6.02
90621 874 872 $0.53
90651 820 813 $0.30
91300 273 258 $0.25
90734 314 308 $0.18
90656 352 350 $0.03
90648 1,330 1,310 $0.01
90710 438 420 $0.00
90700 327 316 $0.00
90633 1,179 1,146 $0.00
90707 273 272 $0.00
90715 57 57 $0.00
90680 883 867 $0.00
90723 559 552 $0.00
36416 1,669 1,578 $0.00
90716 299 298 $0.00
90696 275 274 $0.00
90698 233 226 $0.00
90744 44 44 $0.00
90620 54 54 $0.00