Pediatric Partners El Paso, PA

Pediatric Partners El Paso, PA was paid $5.75M by Medicaid between Jan 2018 and Dec 2024, across 100 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.

33Billing provider infoPEDIATRIC PARTNERS EL PASO, PA
EL PASO, TX 79936

33aNPI1144630682assigned 05/06/2014

33bProvider typePediatrics Physician

28Total paid$5.75M

24GClaims346,588

24DCodes billed100

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#71 of 1,136

Median peer was paid$329K

This provider vs. median17×

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	472	$10K
2019	792	$20K
2020	13,635	$275K
2021	90,198	$1.42M
2022	99,463	$1.58M
2023	76,665	$1.31M
2024incomplete	65,363	$1.13M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	24%	40,193	37,097	$1.37M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	38,502	34,718	$958K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	8.9%	8,475	8,336	$509K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	8.3%	8,489	8,351	$479K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	7.0%	6,710	6,369	$401K
90460	Immunization administration through 18 years of age via any route, first or only component	6.0%	42,880	20,105	$347K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	5.8%	5,460	5,358	$336K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	5.0%	29,726	27,909	$286K
87428		4.0%	7,327	7,065	$232K
99429		2.9%	6,735	6,617	$164K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	1.3%	2,129	2,083	$75K
99463		<1%	515	508	$57K

88 more codes

96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	7,572	$48K
99215	Doctor's office visit, returning patient (complex)	<1%	832	$46K
99499		<1%	994	$46K
90461		<1%	10,618	$36K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	517	$29K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	2,982	$28K
0071A		<1%	835	$23K
83655		<1%	2,954	$22K
0072A		<1%	793	$21K
90480		<1%	878	$20K
99203	Doctor's office visit, new patient (routine)	<1%	357	$17K
92551		<1%	17,197	$16K
99381		<1%	181	$13K
99204	Doctor's office visit, new patient (more involved)	<1%	169	$13K
0124A		<1%	308	$12K
93000		<1%	1,150	$9K
99000		<1%	1,230	$9K
0081A		<1%	315	$8K
0001A		<1%	308	$8K
0002A		<1%	301	$7K
90651		<1%	2,398	$7K
99239	Hospital discharge day management, more than 30 minutes	<1%	97	$7K
0154A		<1%	270	$6K
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	<1%	279	$6K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	504	$5K
99383		<1%	62	$5K
0082A		<1%	193	$5K
0004A		<1%	206	$5K
96161		<1%	3,938	$4K
0074A		<1%	170	$4K
94760		<1%	16,560	$4K
96160		<1%	3,323	$4K
90686		<1%	8,871	$4K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	588	$4K
90620		<1%	900	$4K
90619		<1%	1,344	$3K
81002		<1%	1,423	$3K
90677		<1%	1,150	$3K
90710		<1%	2,493	$3K
0003A		<1%	95	$2K
0083A		<1%	72	$2K
99384		<1%	13	$1K
90680		<1%	3,637	$1K
90670		<1%	4,321	$1K
99223	Prolong inpt eval add15 m	<1%	13	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	86	$783.30
99173		<1%	19,405	$615.25
90633		<1%	2,839	$602.32
85014		<1%	1,361	$598.37
85018		<1%	1,409	$568.99
90623		<1%	108	$515.74
90698		<1%	1,982	$378.96
87420		<1%	35	$337.64
90696		<1%	1,207	$273.54
0173A		<1%	14	$264.80
90697		<1%	1,540	$250.00
90715		<1%	1,094	$245.81
96381		<1%	22	$204.05
96380		<1%	12	$186.69
90734		<1%	356	$144.50
90648		<1%	1,257	$138.91
91307		<1%	1,970	$130.15
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	125	$112.45
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	12	$109.63
90744		<1%	758	$107.27
90700		<1%	1,307	$52.74
81025		<1%	12	$49.58
91300		<1%	1,116	$15.93
A7015	Aerosol mask, used with dme nebulizer	<1%	71	$9.12
A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable	<1%	45	$2.25
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	57	$1.55
91320		<1%	256	$1.25
90656		<1%	37	$0.09
91312		<1%	308	$0.07
91315		<1%	272	$0.07
90713		<1%	14	$0.05
91308		<1%	676	$0.05
91319		<1%	246	$0.04
91318		<1%	247	$0.01
99072		0%	2,088	$0.00
90707		0%	47	$0.00
90621		0%	47	$0.00
A4550	Surgical trays	0%	20	$0.00
99188		0%	15	$0.00
36416		0%	3,439	$0.00
90716		0%	38	$0.00
91317		0%	64	$0.00
90381		0%	22	$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 officialPRIETO, JOSE (PRESIDENT)