NP / PA
Premier Plus Pediatrics, PLLC
Premier Plus Pediatrics, PLLC was paid $587K by Medicaid between Sep 2021 and Dec 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoPREMIER PLUS PEDIATRICS, PLLC
SEGUIN, TX 78155
SEGUIN, TX 78155
33aNPI1093310344assigned 12/03/2020
33bProvider typePediatric Nurse Practitioner
28Total paid$587K
24GClaims27,980
24DCodes billed46
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Texas
Rank by total paid#11 of 51
Median peer was paid$10K
This provider vs. median60×
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 | |
|---|---|---|---|
| 2021 | 857 | $11K | |
| 2022 | 7,622 | $148K | |
| 2023 | 9,659 | $210K | |
| 2024incomplete | 9,842 | $218K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 35% | 4,994 | 4,166 | $207K |
| 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% | 2,532 | 2,285 | $81K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 1,225 | 1,129 | $73K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 920 | 877 | $60K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.0% | 3,961 | 2,225 | $29K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.4% | 417 | 387 | $26K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.2% | 436 | 387 | $25K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.0% | 1,439 | 1,297 | $17K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.9% | 363 | 306 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 1,961 | 1,710 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 931 | 449 | $9K |
| 92587 | 1.5% | 1,065 | 972 | $9K |
34 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 126 | $7K |
| 99383 | <1% | 94 | $5K | |
| 99381 | <1% | 71 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 89 | $2K |
| 99384 | <1% | 34 | $2K | |
| 90671 | <1% | 629 | $2K | |
| 87428 | <1% | 50 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 111 | $1K |
| 90461 | <1% | 1,285 | $1K | |
| 87807 | <1% | 129 | $1K | |
| S8301 | Infection control supplies, not otherwise specified | <1% | 115 | $996.00 |
| 90680 | <1% | 720 | $780.57 | |
| 92558 | <1% | 87 | $385.23 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 28 | $316.08 |
| 85018 | <1% | 82 | $56.34 | |
| 90686 | <1% | 521 | $50.18 | |
| 96160 | <1% | 143 | $32.61 | |
| 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% | 28 | $2.86 |
| 90697 | <1% | 667 | $0.32 | |
| 90619 | <1% | 39 | $0.21 | |
| 90677 | <1% | 150 | $0.08 | |
| 90633 | <1% | 339 | $0.05 | |
| 90707 | <1% | 43 | $0.02 | |
| 90716 | <1% | 30 | $0.02 | |
| 99173 | 0% | 1,365 | $0.00 | |
| 90670 | 0% | 283 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 15 | $0.00 |
| 90744 | 0% | 28 | $0.00 | |
| 96127 | 0% | 18 | $0.00 | |
| 36416 | 0% | 48 | $0.00 | |
| 90656 | 0% | 105 | $0.00 | |
| 90698 | 0% | 208 | $0.00 | |
| 90651 | 0% | 44 | $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 officialLONG, AMY (NURSE PRACTIONER)