Physician
Aguirre Practice of Pediatrics PLLC
Aguirre Practice of Pediatrics PLLC was paid $5.73M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoAGUIRRE PRACTICE OF PEDIATRICS PLLC
SAN ANTONIO, TX 78237
SAN ANTONIO, TX 78237
33aNPI1083737647assigned 04/09/2007
33bProvider typePediatrics Physician
28Total paid$5.73M
24GClaims247,314
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#73 of 1,136
Median peer was paid$329K
This provider vs. median17×
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 | 561 | $14K | |
| 2019 | 849 | $25K | |
| 2020 | 11,075 | $294K | |
| 2021 | 52,230 | $1.34M | |
| 2022 | 56,617 | $1.28M | |
| 2023 | 69,278 | $1.55M | |
| 2024incomplete | 56,704 | $1.23M |
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 | 24% | 44,415 | 36,946 | $1.39M |
| 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 | 20% | 27,716 | 23,763 | $1.14M |
| 99050 | 13% | 14,548 | 13,006 | $767K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.7% | 7,054 | 6,928 | $498K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.4% | 5,871 | 5,728 | $422K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.0% | 5,313 | 5,220 | $344K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.0% | 33,266 | 16,348 | $287K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.7% | 4,340 | 3,955 | $272K |
| 99000 | 1.9% | 14,452 | 11,824 | $110K | |
| 99429 | 1.4% | 2,989 | 2,920 | $78K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 8,187 | 6,881 | $57K |
| S9083 | Global fee urgent care centers | <1% | 624 | 597 | $55K |
56 more codes
| 92551 | <1% | 9,465 | $47K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,913 | $33K |
| 90461 | <1% | 8,612 | $30K | |
| 90619 | <1% | 1,309 | $23K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 360 | $21K |
| 99381 | <1% | 304 | $20K | |
| 90670 | <1% | 2,056 | $17K | |
| 90651 | <1% | 2,813 | $15K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 652 | $14K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 163 | $11K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 130 | $10K |
| 83655 | <1% | 761 | $8K | |
| 96160 | <1% | 4,856 | $6K | |
| 90734 | <1% | 911 | $6K | |
| 97169 | <1% | 227 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 421 | $5K |
| 90710 | <1% | 1,932 | $4K | |
| 90620 | <1% | 1,239 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 173 | $3K |
| 90680 | <1% | 1,992 | $3K | |
| S8301 | Infection control supplies, not otherwise specified | <1% | 143 | $3K |
| 94200 | <1% | 219 | $2K | |
| 87807 | <1% | 243 | $2K | |
| 81002 | <1% | 858 | $2K | |
| 90686 | <1% | 4,922 | $2K | |
| 90671 | <1% | 1,233 | $2K | |
| 99383 | <1% | 25 | $2K | |
| 87276 | <1% | 161 | $1K | |
| 90633 | <1% | 2,110 | $1K | |
| 87275 | <1% | 164 | $1K | |
| 90688 | <1% | 1,233 | $648.36 | |
| 94760 | <1% | 1,594 | $521.18 | |
| 90744 | <1% | 650 | $451.85 | |
| 90715 | <1% | 1,297 | $345.90 | |
| 84030 | <1% | 65 | $274.91 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 48 | $257.15 |
| 90648 | <1% | 358 | $114.12 | |
| 90707 | <1% | 108 | $88.20 | |
| 90696 | <1% | 919 | $49.99 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $45.48 |
| 90661 | <1% | 1,077 | $6.75 | |
| 90677 | <1% | 127 | $2.01 | |
| 36416 | 0% | 2,063 | $0.00 | |
| 90697 | 0% | 1,123 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 3,788 | $0.00 |
| 96127 | 0% | 525 | $0.00 | |
| 90698 | 0% | 1,170 | $0.00 | |
| 90716 | 0% | 44 | $0.00 | |
| 99058 | 0% | 115 | $0.00 | |
| 99173 | 0% | 9,487 | $0.00 | |
| 90687 | 0% | 488 | $0.00 | |
| 90621 | 0% | 85 | $0.00 | |
| 90700 | 0% | 730 | $0.00 | |
| 99051 | 0% | 29 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 18 | $0.00 |
| 90713 | 0% | 18 | $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 officialRANGANATHAN, YAMINI (GM)