Physician
Pilgrim-King, Karen
Pilgrim-King, Karen was paid $307K by Medicaid between Oct 2020 and Aug 2022, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoPILGRIM-KING, KAREN
ARLINGTON, TX 76013
ARLINGTON, TX 76013
33aNPI1205888682assigned 05/16/2006
33bProvider typePediatrics Physician
28Total paid$307K
24GClaims16,608
24DCodes billed33
24AFirst – last monthOct 2020 – Aug 2022
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#579 of 1,136
Median peer was paid$329K
This provider vs. median0.9×
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
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 | 1,873 | $32K | |
| 2021 | 10,582 | $195K | |
| 2022 | 4,153 | $80K |
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 | 25% | 2,292 | 2,017 | $75K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 20% | 861 | 861 | $63K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 752 | 715 | $54K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.9% | 3,950 | 1,877 | $30K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.2% | 372 | 372 | $28K |
| 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 | 8.9% | 621 | 581 | $27K |
| 90461 | 2.3% | 1,041 | 919 | $7K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 690 | 690 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 64 | 64 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 325 | 162 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 98 | 91 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 139 | 132 | $2K |
21 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 44 | $2K |
| 99381 | <1% | 12 | $947.43 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 45 | $597.55 |
| 87807 | <1% | 32 | $302.29 | |
| 86580 | <1% | 13 | $83.98 | |
| 1159F | 0% | 396 | $0.00 | |
| 3078F | 0% | 265 | $0.00 | |
| 90648 | 0% | 51 | $0.00 | |
| 1160F | 0% | 396 | $0.00 | |
| 90707 | 0% | 140 | $0.00 | |
| 90633 | 0% | 238 | $0.00 | |
| 90670 | 0% | 536 | $0.00 | |
| 90700 | 0% | 15 | $0.00 | |
| 3074F | 0% | 272 | $0.00 | |
| 90716 | 0% | 149 | $0.00 | |
| 90698 | 0% | 378 | $0.00 | |
| 90744 | 0% | 208 | $0.00 | |
| 90680 | 0% | 280 | $0.00 | |
| 1036F | 0% | 715 | $0.00 | |
| 90686 | 0% | 609 | $0.00 | |
| 3008F | 0% | 609 | $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.