Physician
Cibolo-South Texas Center for Pediatric Care
Cibolo-South Texas Center for Pediatric Care was paid $244K by Medicaid between Sep 2020 and Jun 2022, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoCIBOLO-SOUTH TEXAS CENTER FOR PEDIATRIC CARE
CIBOLO, TX 78108
CIBOLO, TX 78108
33aNPI1184102147assigned 08/01/2018
33bProvider typePediatrics Physician
28Total paid$244K
24GClaims11,340
24DCodes billed24
24AFirst – last monthSep 2020 – Jun 2022
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#615 of 1,136
Median peer was paid$329K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2020 | 1,344 | $21K | |
| 2021 | 7,434 | $165K | |
| 2022 | 2,562 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 3,015 | 2,601 | $107K |
| 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 | 16% | 798 | 745 | $40K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.6% | 2,570 | 1,074 | $21K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.7% | 241 | 239 | $19K |
| Q3014 | Telehealth originating site facility fee | 6.5% | 784 | 695 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.5% | 149 | 141 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.4% | 134 | 134 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 90 | 90 | $8K |
| 90461 | 1.6% | 488 | 427 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 385 | 301 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 46 | 45 | $2K |
| 99429 | <1% | 42 | 41 | $1K |
12 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $746.51 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 48 | $713.12 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | $473.10 |
| 92551 | <1% | 827 | $354.63 | |
| 96160 | <1% | 49 | $124.52 | |
| 99173 | <1% | 827 | $8.16 | |
| 90648 | 0% | 124 | $0.00 | |
| 90633 | 0% | 24 | $0.00 | |
| 90670 | 0% | 142 | $0.00 | |
| 90686 | 0% | 452 | $0.00 | |
| 90723 | 0% | 62 | $0.00 | |
| 90651 | 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 officialBURNS, DIANNA (MEDICAL DIRECTOR)