Clinic
Tots N Teens Pediatric Urgent Care PLLC
Tots N Teens Pediatric Urgent Care PLLC was paid $911K by Medicaid between Oct 2020 and Nov 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoTOTS N TEENS PEDIATRIC URGENT CARE PLLC
SAN ANTONIO, TX 78253
SAN ANTONIO, TX 78253
33aNPI1194079673assigned 11/05/2012
33bProvider typeUrgent Care Clinic/Center
28Total paid$911K
24GClaims23,784
24DCodes billed18
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Texas
Rank by total paid#35 of 151
Median peer was paid$125K
This provider vs. median7.3×
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 | 517 | $22K | |
| 2021 | 4,882 | $193K | |
| 2022 | 7,888 | $291K | |
| 2023 | 6,006 | $264K | |
| 2024incomplete | 4,491 | $140K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 45% | 7,556 | 6,558 | $409K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 24% | 3,834 | 3,492 | $218K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 2,081 | 1,841 | $97K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 7.1% | 893 | 810 | $65K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.8% | 4,048 | 3,564 | $34K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 3.1% | 347 | 321 | $28K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.8% | 2,400 | 1,584 | $26K |
| 99000 | 1.5% | 1,516 | 1,401 | $14K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.3% | 175 | 157 | $12K |
| 87807 | <1% | 620 | 550 | $5K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 159 | 141 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 55 | 48 | $504.27 |
6 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 17 | $142.67 |
| 81002 | <1% | 14 | $34.89 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 22 | $2.07 |
| 87070 | <1% | 12 | $1.98 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 23 | $0.48 |
| J8540 | Dexamethasone, oral, 0.25 mg | 0% | 12 | $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 officialSALMAN, NAJMUL (OWNER)