Physician
East Houston Medicine & Pediatrics Clinic PA
East Houston Medicine & Pediatrics Clinic PA was paid $1.33M by Medicaid between Feb 2018 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoEAST HOUSTON MEDICINE & PEDIATRICS CLINIC PA
HOUSTON, TX 77015
HOUSTON, TX 77015
33aNPI1083686091assigned 02/03/2006
33bProvider typeInternal Medicine Physician
28Total paid$1.33M
24GClaims41,802
24DCodes billed44
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#29 of 1,028
Median peer was paid$10K
This provider vs. median128×
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 | 83 | $3K | |
| 2019 | 26 | $734.15 | |
| 2020 | 2,373 | $84K | |
| 2021 | 13,536 | $452K | |
| 2022 | 12,056 | $363K | |
| 2023 | 8,968 | $273K | |
| 2024incomplete | 4,760 | $156K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 7,565 | 7,134 | $283K |
| 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 | 18% | 4,712 | 4,425 | $237K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 18% | 2,506 | 2,451 | $233K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 2,088 | 2,044 | $178K |
| 96112 | 8.4% | 978 | 976 | $112K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.6% | 1,094 | 1,073 | $88K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.7% | 5,959 | 2,742 | $63K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.6% | 586 | 573 | $48K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 551 | 531 | $43K |
| 92552 | 1.1% | 582 | 579 | $15K | |
| 90461 | <1% | 1,998 | 1,633 | $9K | |
| 86780 | <1% | 735 | 724 | $8K |
32 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 726 | $5K |
| 81002 | <1% | 773 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 28 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 114 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 74 | $1K |
| 90686 | <1% | 590 | $688.54 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 39 | $561.72 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 40 | $530.55 |
| 82947 | <1% | 125 | $329.20 | |
| 92551 | <1% | 2,518 | $300.10 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $176.76 |
| 90715 | <1% | 228 | $30.48 | |
| 86592 | <1% | 12 | $26.58 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 12 | $1.51 |
| 90670 | 0% | 630 | $0.00 | |
| 90734 | 0% | 543 | $0.00 | |
| 1160F | 0% | 93 | $0.00 | |
| 90707 | 0% | 304 | $0.00 | |
| 90633 | 0% | 292 | $0.00 | |
| 99173 | 0% | 3,602 | $0.00 | |
| 90648 | 0% | 178 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 1159F | 0% | 91 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 495 | $0.00 |
| 3074F | 0% | 25 | $0.00 | |
| 90716 | 0% | 315 | $0.00 | |
| 90680 | 0% | 246 | $0.00 | |
| 90651 | 0% | 160 | $0.00 | |
| 1170F | 0% | 99 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| 90696 | 0% | 45 | $0.00 | |
| 90697 | 0% | 14 | $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 officialWILSON, CORNELIUS (OWNER PRESIDENT)