Physician
Banks Pediatrics PLLC
Banks Pediatrics PLLC was paid $473K by Medicaid between Nov 2019 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoBANKS PEDIATRICS PLLC
LA GRANGE, TX 78945
LA GRANGE, TX 78945
33aNPI1144722984assigned 03/07/2018
33bProvider typePediatrics Physician
28Total paid$473K
24GClaims17,584
24DCodes billed26
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#518 of 1,136
Median peer was paid$329K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2019 | 28 | $0.00 | |
| 2020 | 741 | $13K | |
| 2021 | 4,333 | $114K | |
| 2022 | 5,383 | $160K | |
| 2023 | 4,394 | $121K | |
| 2024incomplete | 2,705 | $66K |
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 | 34% | 3,595 | 3,221 | $161K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 3,745 | 3,353 | $107K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 800 | 779 | $58K |
| 87428 | 7.6% | 720 | 686 | $36K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.9% | 549 | 519 | $33K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.5% | 2,776 | 1,330 | $31K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.6% | 1,974 | 1,816 | $22K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 147 | 142 | $11K |
| 90461 | <1% | 970 | 855 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 114 | 106 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 321 | 318 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 277 | 136 | $3K |
14 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 29 | $2K |
| 87807 | <1% | 61 | $456.42 | |
| 90686 | <1% | 624 | $0.01 | |
| 90680 | 0% | 111 | $0.00 | |
| 90716 | 0% | 25 | $0.00 | |
| 90698 | 0% | 75 | $0.00 | |
| 90697 | 0% | 12 | $0.00 | |
| 90744 | 0% | 12 | $0.00 | |
| 90670 | 0% | 404 | $0.00 | |
| 90671 | 0% | 108 | $0.00 | |
| 90700 | 0% | 15 | $0.00 | |
| 90707 | 0% | 25 | $0.00 | |
| 99173 | 0% | 18 | $0.00 | |
| 90633 | 0% | 77 | $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 officialBANKS, MARVIN (OFFICE MANAGER)