Pediatric Healthcare of Northwest Houston PA

Pediatric Healthcare of Northwest Houston PA was paid $1.40M by Medicaid between Mar 2018 and Dec 2021, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoPEDIATRIC HEALTHCARE OF NORTHWEST HOUSTON PA
HOUSTON, TX 77070

33aNPI1083752059assigned 02/02/2007

33bProvider typeFamily Medicine Physician

28Total paid$1.40M

24GClaims56,809

24DCodes billed35

24AFirst – last monthMar 2018 – Dec 2021

Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#77 of 1,204

Median peer was paid$31K

This provider vs. median46×

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	90	$2K
2019	133	$2K
2020	7,575	$181K
2021	49,011	$1.22M

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	44%	16,986	15,192	$624K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	14%	4,477	3,981	$195K
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	13%	3,636	3,293	$184K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	5.3%	5,467	5,153	$75K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	4.9%	5,370	2,441	$69K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.9%	2,801	2,641	$68K
99000		4.2%	5,333	5,006	$59K
87428		2.7%	547	531	$38K
S8301	Infection control supplies, not otherwise specified	2.4%	4,614	4,132	$34K
90460	Immunization administration through 18 years of age via any route, first or only component	1.5%	2,685	1,954	$21K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	173	168	$7K
87807		<1%	684	630	$7K

23 more codes

0002A		<1%	127	$5K
0071A		<1%	102	$4K
0001A		<1%	74	$3K
97169		<1%	76	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	29	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	125	$2K
CP002		<1%	147	$1K
0072A		<1%	40	$1K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	18	$1K
81002		<1%	378	$1K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	69	$908.54
99001		<1%	62	$273.78
90461		<1%	37	$253.10
A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable	<1%	70	$74.40
96161		<1%	54	$74.06
94760		<1%	107	$32.28
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	281	$0.38
91307		<1%	149	$0.08
90686		<1%	1,344	$0.06
91300		<1%	289	$0.03
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	0%	250	$0.00
96127		0%	195	$0.00
90651		0%	13	$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 officialPALANPURWALA, TASNEEM (ADMINISTRATOR)