AMARILLO PEDIATRIC CLINIC, PLLC
NPI: 1164892956
· AMARILLO, TX 79106
· 363L00000X
$4.13M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
5,272 |
$117K |
| 2021 |
49,218 |
$1.07M |
| 2022 |
48,069 |
$1.05M |
| 2023 |
41,882 |
$976K |
| 2024 |
35,803 |
$911K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
18,707 |
17,014 |
$833K |
| 99213 |
|
19,705 |
17,756 |
$621K |
| 99392 |
|
6,754 |
6,545 |
$497K |
| 99391 |
|
5,478 |
5,080 |
$394K |
| 99393 |
|
3,352 |
3,261 |
$263K |
| 87880 |
|
18,973 |
17,596 |
$247K |
| 87804 |
|
19,251 |
9,034 |
$246K |
| 90460 |
|
23,545 |
9,710 |
$242K |
| 99429 |
|
5,325 |
5,219 |
$154K |
| 87426 |
|
3,111 |
2,866 |
$124K |
| 87428 |
|
4,774 |
4,325 |
$114K |
| 96110 |
|
10,909 |
8,487 |
$81K |
| 92558 |
|
9,357 |
9,106 |
$60K |
| 99394 |
|
713 |
684 |
$60K |
| 87502 |
|
588 |
557 |
$46K |
| 90461 |
|
7,765 |
6,529 |
$40K |
| 87807 |
|
3,820 |
3,598 |
$40K |
| 87651 |
|
1,087 |
1,034 |
$34K |
| 87811 |
|
278 |
265 |
$7K |
| 90471 |
|
569 |
554 |
$6K |
| 99204 |
|
72 |
69 |
$6K |
| 96372 |
|
428 |
411 |
$4K |
| 99212 |
|
157 |
147 |
$3K |
| 96160 |
|
1,194 |
1,155 |
$1K |
| 99382 |
|
12 |
12 |
$953.32 |
| 87634 |
|
13 |
13 |
$766.61 |
| 94640 |
|
14 |
13 |
$184.38 |
| 99211 |
|
14 |
14 |
$149.60 |
| 95117 |
|
16 |
14 |
$119.84 |
| 81002 |
|
44 |
39 |
$119.73 |
| J1100 |
Dexamethasone sodium phos |
13 |
13 |
$10.50 |
| J7613 |
Albuterol non-comp unit |
14 |
13 |
$1.20 |
| 90671 |
|
663 |
597 |
$0.20 |
| 90677 |
|
753 |
667 |
$0.12 |
| 90686 |
|
3,025 |
2,978 |
$0.02 |
| 90744 |
|
666 |
649 |
$0.00 |
| 90647 |
|
837 |
816 |
$0.00 |
| 90698 |
|
2,948 |
2,874 |
$0.00 |
| 90723 |
|
478 |
470 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90381 |
|
21 |
13 |
$0.00 |
| 90696 |
|
48 |
28 |
$0.00 |
| 90670 |
|
2,425 |
2,348 |
$0.00 |
| 90633 |
|
993 |
959 |
$0.00 |
| 90710 |
|
657 |
596 |
$0.00 |
| 90681 |
|
652 |
637 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |