Medicaid Provider Spending

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

SAMUELS VALLEY PEDIATRIC SERVICES

NPI: 1144580044 · ALAMO, TX 78516 · Pediatrics Physician · NPI assigned 05/24/2012

$2.47M
Total Medicaid Paid
110,054
Total Claims
86,190
Beneficiaries
56
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSAMUELS, MARTEL (OWNER)
NPI Enumeration Date05/24/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 89 $1K
2019 784 $18K
2020 11,693 $278K
2021 28,641 $575K
2022 37,245 $911K
2023 23,674 $520K
2024 7,928 $164K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,219 11,516 $462K
86769 12,473 5,376 $436K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 10,126 8,273 $406K
96112 2,871 2,610 $229K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,758 1,516 $110K
87276 8,978 7,785 $105K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,647 7,247 $99K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,380 1,269 $94K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 15,656 12,425 $92K
87275 8,976 7,786 $81K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,255 2,738 $72K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 604 540 $39K
87807 3,454 3,047 $35K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 513 465 $26K
99441 940 893 $22K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 485 422 $19K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,642 708 $19K
90460 Immunization administration through 18 years of age via any route, first or only component 1,741 767 $15K
92567 1,578 1,338 $15K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 240 216 $14K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 168 159 $12K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 121 120 $9K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 239 123 $7K
81003 4,042 3,587 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 133 132 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 506 412 $4K
99442 145 130 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 326 299 $4K
87581 142 141 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 133 132 $4K
90461 573 440 $3K
99383 45 43 $3K
93000 150 140 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 26 26 $2K
0001A 39 33 $1K
83655 148 123 $1K
0071A 27 27 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 174 144 $998.08
96160 2,093 1,874 $799.63
0002A 20 17 $660.00
99050 25 25 $343.62
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 33 32 $245.21
J0696 Injection, ceftriaxone sodium, per 250 mg 266 243 $196.89
90686 87 76 $18.49
J1100 Injection, dexamethasone sodium phosphate, 1 mg 53 50 $4.47
90648 27 27 $0.00
G0444 Annual depression screening, 5 to 15 minutes 195 181 $0.00
90734 99 93 $0.00
90710 18 15 $0.00
99173 216 183 $0.00
90715 43 39 $0.00
91300 65 55 $0.00
90670 27 27 $0.00
90649 26 26 $0.00
91307 61 55 $0.00
90696 27 24 $0.00