Physician
Harlingen Pediatrics Associates
Harlingen Pediatrics Associates was paid $4.05M by Medicaid between Oct 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoHARLINGEN PEDIATRICS ASSOCIATES
HARLINGEN, TX 78550
HARLINGEN, TX 78550
33aNPI1124084058assigned 04/20/2006
33bProvider typeGeneral Practice Physician
28Total paid$4.05M
24GClaims225,609
24DCodes billed48
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Texas
Rank by total paid#3 of 113
Median peer was paid$22K
This provider vs. median184×
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 | 31 | $243.04 | |
| 2019 | 50 | $348.21 | |
| 2020 | 6,533 | $109K | |
| 2021 | 51,824 | $974K | |
| 2022 | 64,706 | $1.13M | |
| 2023 | 56,240 | $1.01M | |
| 2024incomplete | 46,225 | $829K |
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 | 22% | 46,119 | 42,662 | $873K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 13% | 13,876 | 13,380 | $511K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 6,355 | 6,322 | $502K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 5,992 | 5,966 | $502K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.4% | 31,678 | 13,000 | $342K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.3% | 4,335 | 4,305 | $337K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.9% | 3,095 | 3,076 | $278K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.8% | 15,398 | 14,563 | $195K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.7% | 20,756 | 19,952 | $151K |
| 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 | 2.3% | 3,088 | 2,946 | $91K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 10,967 | 5,307 | $75K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 1,229 | 1,186 | $62K |
36 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 5,446 | $44K |
| 90461 | <1% | 8,833 | $37K | |
| 99429 | <1% | 587 | $21K | |
| 87807 | <1% | 1,524 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 593 | $7K |
| 96160 | <1% | 2,706 | $6K | |
| 87400 | <1% | 885 | $5K | |
| 87430 | <1% | 410 | $3K | |
| 99381 | <1% | 15 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 263 | $799.29 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 38 | $490.93 |
| 83655 | <1% | 66 | $285.97 | |
| 81003 | <1% | 115 | $107.74 | |
| 99000 | <1% | 14 | $89.56 | |
| 96161 | <1% | 1,612 | $2.25 | |
| 90686 | <1% | 2,746 | $1.15 | |
| 90677 | <1% | 646 | $0.65 | |
| 90619 | <1% | 192 | $0.32 | |
| 90651 | <1% | 362 | $0.14 | |
| 3008F | 0% | 12,961 | $0.00 | |
| 90698 | 0% | 2,202 | $0.00 | |
| 2001F | 0% | 12,960 | $0.00 | |
| 90744 | 0% | 568 | $0.00 | |
| 90716 | 0% | 514 | $0.00 | |
| 90680 | 0% | 1,587 | $0.00 | |
| 36416 | 0% | 116 | $0.00 | |
| 90656 | 0% | 309 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 65 | $0.00 |
| 90696 | 0% | 29 | $0.00 | |
| 90670 | 0% | 2,884 | $0.00 | |
| 90633 | 0% | 749 | $0.00 | |
| 90707 | 0% | 484 | $0.00 | |
| 90734 | 0% | 88 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 99072 | 0% | 125 | $0.00 | |
| 90648 | 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 officialGARCIA, ESMERALDA (SUPERVISOR)