Physician
Daria Babineaux MD PA
Daria Babineaux MD PA was paid $27.06M by Medicaid between Jan 2020 and Dec 2024, across 40 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoDARIA BABINEAUX MD PA
ROMA, TX 78584
ROMA, TX 78584
33aNPI1124312749assigned 05/31/2011
33bProvider typePediatrics Physician
28Total paid$27.06M
24GClaims147,322
24DCodes billed40
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#6 of 1,136
Median peer was paid$329K
This provider vs. median82×
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 | |
|---|---|---|---|
| 2020 | 3,273 | $218K | |
| 2021 | 33,912 | $6.18M | |
| 2022 | 41,489 | $7.16M | |
| 2023 | 36,610 | $6.71M | |
| 2024incomplete | 32,038 | $6.79M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 93% | 92,530 | 71,445 | $25.06M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 2,256 | 2,240 | $621K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 2,087 | 2,072 | $585K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 1,648 | 1,584 | $438K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 1,213 | 1,183 | $352K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 358 | 336 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 6,074 | 5,785 | $463.80 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,754 | 1,959 | $317.14 |
| 99000 | <1% | 1,765 | 1,703 | $210.34 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 10,446 | 4,032 | $204.20 |
| 90672 | <1% | 834 | 827 | $126.61 | |
| S8301 | Infection control supplies, not otherwise specified | <1% | 3,317 | 2,994 | $110.50 |
28 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,856 | $55.60 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,267 | $13.89 |
| 90461 | <1% | 2,727 | $7.84 | |
| 81002 | <1% | 509 | $2.92 | |
| 96161 | <1% | 1,193 | $2.25 | |
| 90648 | 0% | 739 | $0.00 | |
| 90715 | 0% | 46 | $0.00 | |
| 90633 | 0% | 366 | $0.00 | |
| 90700 | 0% | 38 | $0.00 | |
| 90734 | 0% | 201 | $0.00 | |
| 90707 | 0% | 333 | $0.00 | |
| 90655 | 0% | 34 | $0.00 | |
| 99051 | 0% | 135 | $0.00 | |
| 97802 | 0% | 1,839 | $0.00 | |
| 99406 | 0% | 3,223 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 1,839 | $0.00 |
| 99429 | 0% | 1,718 | $0.00 | |
| 90620 | 0% | 84 | $0.00 | |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | 0% | 1,838 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 497 | $0.00 |
| 90680 | 0% | 452 | $0.00 | |
| 90716 | 0% | 331 | $0.00 | |
| 90686 | 0% | 94 | $0.00 | |
| 90651 | 0% | 87 | $0.00 | |
| 90723 | 0% | 232 | $0.00 | |
| 90696 | 0% | 52 | $0.00 | |
| 90677 | 0% | 261 | $0.00 | |
| 87807 | 0% | 49 | $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 officialROMERO, ESPERANZA (ASSISTANT ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Daria Babineaux MD PA | Rio Grande City, TX | $7.75M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.