Physician
Coastal Children's Clinic PA
Coastal Children's Clinic PA was paid $14.45M by Medicaid between Jan 2018 and Dec 2024, across 105 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 17% of everything it billed.
33Billing provider infoCOASTAL CHILDREN'S CLINIC PA
CORPUS CHRISTI, TX 78411
CORPUS CHRISTI, TX 78411
33aNPI1164471116assigned 05/08/2006
33bProvider typePediatrics Physician
28Total paid$14.45M
24GClaims1,020,074
24DCodes billed105
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#15 of 1,136
Median peer was paid$329K
This provider vs. median44×
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 | 3,426 | $86K | |
| 2019 | 3,521 | $71K | |
| 2020 | 25,093 | $357K | |
| 2021 | 225,543 | $3.37M | |
| 2022 | 272,284 | $3.95M | |
| 2023 | 257,513 | $3.69M | |
| 2024incomplete | 232,694 | $2.93M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 17% | 25,600 | 25,243 | $2.40M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 24,557 | 24,220 | $2.18M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 14% | 19,686 | 19,256 | $1.97M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 18,378 | 18,026 | $1.58M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.7% | 98,082 | 45,971 | $1.26M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.7% | 140,432 | 132,614 | $971K |
| 99429 | 5.5% | 21,747 | 21,462 | $792K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.9% | 16,286 | 15,941 | $566K |
| 99050 | 3.3% | 4,847 | 4,727 | $481K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.6% | 7,124 | 6,963 | $375K |
| 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 | 1.8% | 24,672 | 23,764 | $264K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 27,051 | 20,554 | $248K |
93 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 15,627 | $146K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,747 | $131K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 14,429 | $123K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 21,421 | $116K |
| 99381 | <1% | 1,254 | $111K | |
| 99051 | <1% | 27,320 | $110K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 713 | $81K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 798 | $77K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 37,761 | $74K |
| 90461 | <1% | 26,541 | $72K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 24,286 | $48K |
| 96160 | <1% | 23,729 | $46K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,856 | $35K |
| 83655 | <1% | 2,066 | $21K | |
| 87070 | <1% | 19,364 | $20K | |
| 90620 | <1% | 2,304 | $15K | |
| 0071A | <1% | 322 | $13K | |
| 90474 | <1% | 1,505 | $13K | |
| 0001A | <1% | 342 | $13K | |
| 90837 | Psychotherapy session, about an hour | <1% | 326 | $11K |
| 0072A | <1% | 240 | $10K | |
| 0002A | <1% | 233 | $9K | |
| 90686 | <1% | 25,849 | $8K | |
| 87280 | <1% | 4,043 | $8K | |
| 96161 | <1% | 25,077 | $7K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 76 | $6K |
| 90651 | <1% | 6,326 | $6K | |
| 96380 | <1% | 253 | $5K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 100 | $5K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 52 | $3K |
| 96381 | <1% | 153 | $3K | |
| 99383 | <1% | 24 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 25 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,418 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,335 | $2K |
| 99384 | <1% | 15 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 553 | $1K |
| 80061 | Lipid panel | <1% | 610 | $1K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 884 | $1K |
| 99000 | <1% | 568 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 48 | $976.58 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 41 | $794.16 |
| 80050 | General health panel | <1% | 100 | $765.06 |
| 87807 | <1% | 407 | $708.40 | |
| 69209 | <1% | 50 | $667.13 | |
| 90619 | <1% | 2,665 | $529.38 | |
| 0081A | <1% | 13 | $520.00 | |
| 80053 | Comprehensive metabolic panel | <1% | 368 | $469.75 |
| 84439 | <1% | 277 | $453.24 | |
| 81003 | <1% | 624 | $269.15 | |
| 90715 | <1% | 1,418 | $255.65 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 72 | $248.27 |
| 85014 | <1% | 1,529 | $247.13 | |
| 81001 | <1% | 545 | $237.25 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 110 | $190.76 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 75 | $186.24 |
| 90734 | <1% | 2,421 | $169.76 | |
| 86580 | <1% | 24 | $147.57 | |
| 90656 | <1% | 2,861 | $115.74 | |
| 86318 | <1% | 17 | $48.64 | |
| 82948 | <1% | 39 | $37.20 | |
| 82465 | <1% | 66 | $36.18 | |
| 90688 | <1% | 476 | $18.98 | |
| 85018 | <1% | 1,716 | $14.24 | |
| 96127 | <1% | 2,469 | $4.44 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 109 | $2.94 |
| 85652 | <1% | 12 | $0.85 | |
| 91307 | <1% | 595 | $0.02 | |
| 90671 | <1% | 6,789 | $0.01 | |
| 90697 | <1% | 7,197 | $0.01 | |
| 90670 | 0% | 9,191 | $0.00 | |
| 90633 | 0% | 6,823 | $0.00 | |
| 90710 | 0% | 1,605 | $0.00 | |
| 3085F | 0% | 17,857 | $0.00 | |
| 90707 | 0% | 839 | $0.00 | |
| 90700 | 0% | 76 | $0.00 | |
| 90380 | 0% | 55 | $0.00 | |
| 91308 | 0% | 30 | $0.00 | |
| 91300 | 0% | 609 | $0.00 | |
| 90648 | 0% | 66 | $0.00 | |
| 90698 | 0% | 4,282 | $0.00 | |
| 2001F | 0% | 90,966 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,074 | $0.00 |
| 90680 | 0% | 9,142 | $0.00 | |
| 2000F | 0% | 58,208 | $0.00 | |
| 36416 | 0% | 1,396 | $0.00 | |
| 3008F | 0% | 59,624 | $0.00 | |
| 90716 | 0% | 903 | $0.00 | |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | 0% | 368 | $0.00 |
| 90381 | 0% | 200 | $0.00 | |
| 90696 | 0% | 1,284 | $0.00 | |
| 90744 | 0% | 1,323 | $0.00 | |
| 90723 | 0% | 13 | $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 officialCANDAS, ALI (PRESIDENT)