Physician
Abilene Children's Medical Association, LLP
Abilene Children's Medical Association, LLP was paid $4.32M by Medicaid between Oct 2018 and Dec 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoABILENE CHILDREN'S MEDICAL ASSOCIATION, LLP
ABILENE, TX 79601
ABILENE, TX 79601
33aNPI1184680696assigned 04/24/2006
33bProvider typePediatrics Physician
28Total paid$4.32M
24GClaims155,362
24DCodes billed56
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#101 of 1,136
Median peer was paid$329K
This provider vs. median13×
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 | 27 | $109.76 | |
| 2019 | 30 | $125.44 | |
| 2020 | 4,164 | $106K | |
| 2021 | 33,921 | $877K | |
| 2022 | 41,257 | $1.14M | |
| 2023 | 38,730 | $1.10M | |
| 2024incomplete | 37,233 | $1.10M |
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 | 22% | 23,408 | 21,388 | $962K |
| 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 | 20% | 14,774 | 13,439 | $851K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 5,517 | 4,968 | $439K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.3% | 4,908 | 4,732 | $403K |
| 92583 | 7.8% | 7,710 | 7,543 | $336K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.6% | 2,819 | 2,712 | $242K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.7% | 2,212 | 2,087 | $203K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.8% | 13,084 | 4,201 | $163K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.7% | 3,863 | 3,531 | $159K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 3,918 | 3,732 | $108K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.3% | 7,472 | 3,468 | $100K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.2% | 7,314 | 6,675 | $96K |
44 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 7,073 | $73K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.5% | 7,234 | $64K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 7,138 | $60K |
| 90461 | <1% | 1,809 | $8K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,001 | $8K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 581 | $7K |
| 96160 | <1% | 2,817 | $5K | |
| 99383 | <1% | 45 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 30 | $4K |
| 99460 | <1% | 51 | $4K | |
| 0001A | <1% | 69 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 33 | $2K |
| 90474 | <1% | 191 | $2K | |
| 99382 | <1% | 13 | $1K | |
| 99384 | <1% | 12 | $1K | |
| 0071A | <1% | 36 | $1K | |
| 0002A | <1% | 27 | $1K | |
| 0072A | <1% | 24 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 82 | $922.90 |
| 87428 | <1% | 24 | $765.80 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $684.96 |
| 81003 | <1% | 130 | $233.54 | |
| 90677 | <1% | 1,178 | $2.08 | |
| 91307 | <1% | 133 | $0.12 | |
| 90686 | <1% | 3,584 | $0.07 | |
| 90734 | <1% | 456 | $0.02 | |
| 90651 | <1% | 502 | $0.01 | |
| 90656 | <1% | 310 | $0.01 | |
| 90723 | 0% | 2,960 | $0.00 | |
| 90680 | 0% | 359 | $0.00 | |
| 90716 | 0% | 1,037 | $0.00 | |
| 96127 | 0% | 653 | $0.00 | |
| 90696 | 0% | 123 | $0.00 | |
| 36416 | 0% | 30 | $0.00 | |
| 90670 | 0% | 2,956 | $0.00 | |
| 99173 | 0% | 7,616 | $0.00 | |
| 90707 | 0% | 979 | $0.00 | |
| 90633 | 0% | 1,215 | $0.00 | |
| 91300 | 0% | 155 | $0.00 | |
| 90648 | 0% | 4,151 | $0.00 | |
| 90700 | 0% | 58 | $0.00 | |
| 90681 | 0% | 1,159 | $0.00 | |
| 90715 | 0% | 204 | $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% | 113 | $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 officialMASLANKA, PAUL (SENIOR PARTNER)