Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Nicolas Rich JR MD Faap PA

Nicolas Rich JR MD Faap PA was paid $3.86M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoNICOLAS RICH JR MD FAAP PA
EL PASO, TX 79902
33aNPI1164597324assigned 11/22/2006
33bProvider typePediatrics Physician
28Total paid$3.86M
24GClaims133,878
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#117 of 1,136
Median peer was paid$329K
This provider vs. median12×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
2018671$29K
2019423$18K
20205,800$158K
202131,905$736K
202233,294$1.01M
202333,615$1.03M
2024incomplete28,170$873K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36% 34,624 30,125 $1.37M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13% 6,420 5,969 $519K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13% 5,751 5,705 $483K
90460 Immunization administration through 18 years of age via any route, first or only component 10% 33,718 15,282 $396K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8.3% 3,744 3,685 $321K
87428 6.2% 5,370 5,173 $241K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.2% 2,247 2,216 $199K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2.0% 1,597 1,516 $78K
90461 1.6% 8,130 7,139 $62K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.3% 1,691 1,636 $51K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.1% 4,939 4,447 $43K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,455 1,311 $35K
43 more codes
87807 <1% 1,458 $17K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 354 $5K
90677 <1% 1,065 $5K
0071A <1% 89 $3K
0072A <1% 85 $3K
83655 <1% 328 $3K
90380 <1% 39 $2K
0081A <1% 52 $2K
0082A <1% 50 $2K
99238 Hospital discharge day management, 30 minutes or less <1% 31 $2K
99429 <1% 50 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 117 $2K
90686 <1% 5,864 $1K
90680 <1% 2,636 $1K
90656 <1% 758 $729.83
96380 <1% 38 $729.34
99214 Doctor's office visit, returning patient (more involved) <1% 12 $689.85
90648 <1% 1,726 $537.83
S9470 Nutritional counseling, dietitian visit <1% 36 $502.60
0001A <1% 196 $450.00
85018 <1% 838 $400.96
90723 <1% 793 $282.70
90651 <1% 501 $177.08
G9716 Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason <1% 166 $90.00
96160 <1% 55 $41.08
90633 <1% 1,016 $36.27
90672 <1% 253 $35.02
90655 <1% 25 $18.05
90670 <1% 3,155 $1.40
90619 <1% 222 $0.62
91307 <1% 367 $0.03
90707 <1% 51 $0.02
90716 <1% 52 $0.02
90744 <1% 53 $0.02
91308 <1% 120 $0.01
90734 <1% 55 $0.01
90620 <1% 209 $0.01
90700 0% 24 $0.00
90715 0% 25 $0.00
90710 0% 15 $0.00
90698 0% 1,153 $0.00
96127 0% 45 $0.00
90696 0% 15 $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 officialRICH, NICOLAS (MD)