Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

915 Pediatrics PLLC

915 Pediatrics PLLC was paid $910K by Medicaid between Jun 2021 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.

33Billing provider info915 PEDIATRICS PLLC
EL PASO, TX 79936
33aNPI1114526050assigned 10/21/2020
33bProvider typePediatrics Physician
28Total paid$910K
24GClaims30,781
24DCodes billed54
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#384 of 1,136
Median peer was paid$329K
This provider vs. median2.8×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2021712$26K
20229,260$277K
202312,093$355K
2024incomplete8,716$252K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33% 8,285 6,908 $300K
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% 3,149 2,864 $160K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9.1% 1,060 1,051 $83K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8.7% 1,032 979 $79K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.5% 826 819 $68K
90460 Immunization administration through 18 years of age via any route, first or only component 7.4% 5,442 2,395 $67K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.2% 540 535 $48K
99429 3.7% 1,005 1,000 $34K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.5% 428 422 $23K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.3% 1,433 1,308 $12K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 130 125 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 361 176 $5K
42 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 337 $4K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 73 $4K
Q3014 Telehealth originating site facility fee <1% 200 $3K
90461 <1% 1,586 $2K
90671 <1% 82 $2K
99463 <1% 16 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 50 $1K
96160 <1% 640 $1K
99499 <1% 13 $1K
99204 Doctor's office visit, new patient (more involved) <1% 13 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 17 $872.61
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment <1% 29 $700.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 67 $690.60
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 36 $450.89
90651 <1% 185 $288.53
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 14 $171.72
90619 <1% 27 $167.53
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 13 $131.28
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 14 $0.65
90686 <1% 435 $0.03
90697 <1% 352 $0.02
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) <1% 421 $0.01
S9451 Exercise classes, non-physician provider, per session 0% 113 $0.00
90680 0% 497 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 249 $0.00
90677 0% 97 $0.00
90698 0% 80 $0.00
S9452 Nutrition classes, non-physician provider, per session 0% 20 $0.00
90744 0% 25 $0.00
90656 0% 137 $0.00
99050 0% 18 $0.00
90696 0% 14 $0.00
90716 0% 16 $0.00
90670 0% 561 $0.00
90633 0% 347 $0.00
S9449 Weight management classes, non-physician provider, per session 0% 116 $0.00
90707 0% 28 $0.00
90734 0% 95 $0.00
90715 0% 13 $0.00
90700 0% 19 $0.00
90380 0% 12 $0.00
90648 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 officialGOMEZ, GILBERTO (OWNER)