PEDIATRIC IMMEDIATE CARE OF TEXAS, PLLC
NPI: 1083156905
· LEAGUE CITY, TX 77573
· Pediatric Critical Care Medicine Physician
$4.15M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,640 |
$91K |
| 2021 |
16,534 |
$580K |
| 2022 |
21,377 |
$858K |
| 2023 |
24,169 |
$1.20M |
| 2024 |
20,827 |
$1.42M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 30210 |
|
9,326 |
8,324 |
$1.13M |
| 87633 |
|
2,660 |
2,398 |
$912K |
| 99213 |
|
16,510 |
14,212 |
$582K |
| 87635 |
|
6,164 |
5,586 |
$303K |
| 87502 |
|
3,539 |
3,236 |
$278K |
| 99391 |
|
3,585 |
2,976 |
$256K |
| 99392 |
|
3,152 |
3,052 |
$254K |
| 99393 |
|
1,232 |
1,201 |
$107K |
| 90472 |
|
6,359 |
3,806 |
$58K |
| 96110 |
|
7,078 |
5,791 |
$58K |
| 90471 |
|
5,075 |
4,909 |
$56K |
| 99000 |
|
4,468 |
4,060 |
$45K |
| 87651 |
|
985 |
923 |
$29K |
| 99381 |
|
280 |
263 |
$22K |
| 99214 |
|
429 |
409 |
$22K |
| 99394 |
|
220 |
218 |
$21K |
| 90474 |
|
1,446 |
1,391 |
$13K |
| 99203 |
|
104 |
103 |
$6K |
| 86328 |
|
75 |
74 |
$2K |
| 96161 |
|
1,013 |
616 |
$281.73 |
| 96160 |
|
56 |
53 |
$76.60 |
| 87801 |
|
115 |
77 |
$61.92 |
| 90674 |
|
45 |
43 |
$0.41 |
| 90710 |
|
1,079 |
1,061 |
$0.01 |
| 90670 |
|
1,761 |
1,734 |
$0.00 |
| 90671 |
|
596 |
544 |
$0.00 |
| 90648 |
|
1,395 |
1,334 |
$0.00 |
| 90700 |
|
531 |
520 |
$0.00 |
| 90633 |
|
1,339 |
1,310 |
$0.00 |
| 90734 |
|
63 |
61 |
$0.00 |
| 90681 |
|
174 |
154 |
$0.00 |
| 90715 |
|
49 |
47 |
$0.00 |
| 90680 |
|
1,278 |
1,248 |
$0.00 |
| 90647 |
|
998 |
972 |
$0.00 |
| 90723 |
|
1,804 |
1,731 |
$0.00 |
| 90686 |
|
364 |
363 |
$0.00 |
| 90696 |
|
200 |
194 |
$0.00 |