Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HARLINGEN PEDIATRICS ASSOCIATES

NPI: 1124084058 · HARLINGEN, TX 78550 · General Practice Physician · NPI assigned 04/20/2006

$4.05M
Total Medicaid Paid
225,609
Total Claims
191,809
Beneficiaries
48
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGARCIA, ESMERALDA (SUPERVISOR)
NPI Enumeration Date04/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 46,225 $829K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46,119 42,662 $873K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 13,876 13,380 $511K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,355 6,322 $502K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,992 5,966 $502K
90460 Immunization administration through 18 years of age via any route, first or only component 31,678 13,000 $342K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,335 4,305 $337K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,095 3,076 $278K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15,398 14,563 $195K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 20,756 19,952 $151K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,088 2,946 $91K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 10,967 5,307 $75K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,229 1,186 $62K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,446 3,928 $44K
90461 8,833 7,662 $37K
99429 587 581 $21K
87807 1,524 1,457 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 593 592 $7K
96160 2,706 2,684 $6K
87400 885 420 $5K
87430 410 398 $3K
99381 15 15 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 263 231 $799.29
G8510 Screening for depression is documented as negative, a follow-up plan is not required 38 38 $490.93
83655 66 65 $285.97
81003 115 110 $107.74
99000 14 14 $89.56
96161 1,612 1,597 $2.25
90686 2,746 2,728 $1.15
90677 646 635 $0.65
90619 192 192 $0.32
90651 362 360 $0.14
3008F 12,961 12,877 $0.00
90698 2,202 2,191 $0.00
2001F 12,960 12,875 $0.00
90744 568 565 $0.00
90716 514 512 $0.00
90680 1,587 1,577 $0.00
36416 116 105 $0.00
90656 309 309 $0.00
36415 Collection of venous blood by venipuncture 65 63 $0.00
90696 29 29 $0.00
90670 2,884 2,874 $0.00
90633 749 744 $0.00
90707 484 482 $0.00
90734 88 87 $0.00
90700 13 13 $0.00
99072 125 120 $0.00
90648 14 14 $0.00