Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Houston › NPI 1164597738
Physician

Liliane M. Hay, M.D., Faap, P.A.

Liliane M. Hay, M.D., Faap, P.A. was paid $957K by Medicaid between Apr 2018 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoLILIANE M. HAY, M.D., FAAP, P.A.
HOUSTON, TX 77024
33aNPI1164597738assigned 11/21/2006
33bProvider typePediatrics Physician
28Total paid$957K
24GClaims39,654
24DCodes billed42
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#376 of 1,136
Median peer was paid$329K
This provider vs. median2.9×

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$20K$40K2018201920202021202220232024
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
2018161$0.00
20202,091$45K
202113,810$285K
20229,983$263K
20237,908$217K
2024incomplete5,701$148K
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 30% 7,754 6,577 $287K
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 14% 2,535 2,321 $132K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13% 1,550 1,535 $126K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 1,357 1,291 $105K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9.8% 1,111 1,100 $94K
90460 Immunization administration through 18 years of age via any route, first or only component 6.0% 6,340 3,624 $58K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.7% 604 591 $55K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.7% 3,229 2,625 $26K
S8301 Infection control supplies, not otherwise specified 1.6% 2,124 1,714 $15K
92551 1.0% 1,561 1,533 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 694 660 $9K
90671 <1% 249 243 $8K
30 more codes
90461 <1% 1,852 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 477 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 141 $5K
90619 <1% 34 $3K
99381 <1% 30 $2K
99215 Doctor's office visit, returning patient (complex) <1% 29 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 259 $2K
90734 <1% 38 $577.92
87807 <1% 35 $398.75
90707 <1% 173 $260.81
90698 <1% 277 $258.72
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 12 $175.32
96160 <1% 79 $129.92
90686 <1% 1,435 $55.75
90633 <1% 373 $39.15
90648 <1% 195 $36.54
90670 <1% 787 $0.05
90651 <1% 218 $0.04
90680 <1% 623 $0.03
90716 <1% 174 $0.03
90723 0% 57 $0.00
96127 0% 424 $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% 14 $0.00
90697 0% 247 $0.00
90744 0% 56 $0.00
90696 0% 17 $0.00
99173 0% 2,077 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 0% 381 $0.00
90710 0% 17 $0.00
90700 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 officialHAY, LILIANE (M.D.)