Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › League City › NPI 1083156905
Physician

Pediatric Immediate Care of Texas, PLLC

Pediatric Immediate Care of Texas, PLLC was paid $4.15M by Medicaid between Sep 2020 and Dec 2024, across 37 billing codes. Its largest line is 30210, — 27% of everything it billed.

33Billing provider infoPEDIATRIC IMMEDIATE CARE OF TEXAS, PLLC
LEAGUE CITY, TX 77573
33aNPI1083156905assigned 11/09/2016
28Total paid$4.15M
24GClaims85,547
24DCodes billed37
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers

Next to other Pediatric Critical Care Medicine Physician providers in Texas

Rank by total paid#1 of 11
Median peer was paid$190K
This provider vs. median22×

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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
20202,640$91K
202116,534$580K
202221,377$858K
202324,169$1.20M
2024incomplete20,827$1.42M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
30210 27% 9,326 8,324 $1.13M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 22% 2,660 2,398 $912K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 16,510 14,212 $582K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7.3% 6,164 5,586 $303K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 6.7% 3,539 3,236 $278K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6.2% 3,585 2,976 $256K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.1% 3,152 3,052 $254K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.6% 1,232 1,201 $107K
90472 Immunization administration, each additional vaccine (list separately) 1.4% 6,359 3,806 $58K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.4% 7,078 5,791 $58K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.3% 5,075 4,909 $56K
99000 1.1% 4,468 4,060 $45K
25 more codes
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 985 $29K
99381 <1% 280 $22K
99214 Doctor's office visit, returning patient (more involved) <1% 429 $22K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 220 $21K
90474 <1% 1,446 $13K
99203 Doctor's office visit, new patient (routine) <1% 104 $6K
86328 <1% 75 $2K
96161 <1% 1,013 $281.73
96160 <1% 56 $76.60
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 115 $61.92
90674 <1% 45 $0.41
90710 <1% 1,079 $0.01
90670 0% 1,761 $0.00
90671 0% 596 $0.00
90648 0% 1,395 $0.00
90700 0% 531 $0.00
90633 0% 1,339 $0.00
90734 0% 63 $0.00
90681 0% 174 $0.00
90715 0% 49 $0.00
90680 0% 1,278 $0.00
90647 0% 998 $0.00
90723 0% 1,804 $0.00
90686 0% 364 $0.00
90696 0% 200 $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 officialSUNALLAH, RAMI (OWNER)