Physician
Valley Children's Clinic, PA
Valley Children's Clinic, PA was paid $2.83M by Medicaid between Apr 2018 and Dec 2024, across 90 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoVALLEY CHILDREN'S CLINIC, PA
HARLINGEN, TX 78550
HARLINGEN, TX 78550
33aNPI1215066121assigned 03/05/2007
33bProvider typePediatrics Physician
28Total paid$2.83M
24GClaims248,346
24DCodes billed90
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#168 of 1,136
Median peer was paid$329K
This provider vs. median8.6×
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 | 53 | $475.45 | |
| 2019 | 519 | $4K | |
| 2020 | 11,807 | $122K | |
| 2021 | 53,552 | $602K | |
| 2022 | 60,005 | $802K | |
| 2023 | 71,485 | $767K | |
| 2024incomplete | 50,925 | $530K |
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 | 21% | 38,185 | 30,411 | $597K |
| 87428 | 12% | 6,527 | 5,674 | $339K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 3,961 | 3,792 | $303K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 4,118 | 3,854 | $289K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.6% | 3,379 | 3,138 | $273K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.1% | 2,899 | 2,742 | $200K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.7% | 18,707 | 8,558 | $191K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.3% | 3,694 | 3,385 | $150K |
| 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 | 2.8% | 2,928 | 2,756 | $80K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 5,476 | 5,008 | $58K |
| 99429 | 1.6% | 1,446 | 1,388 | $46K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 4,800 | 2,290 | $44K |
78 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 5,762 | $43K |
| 99381 | 1.2% | 506 | $35K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,608 | $26K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 744 | $23K |
| 90461 | <1% | 5,063 | $22K | |
| 99000 | <1% | 3,807 | $16K | |
| 92552 | <1% | 2,979 | $15K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,718 | $14K |
| 83655 | <1% | 1,292 | $12K | |
| 97169 | <1% | 551 | $11K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,435 | $9K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 847 | $7K |
| 99051 | <1% | 1,895 | $6K | |
| 96160 | <1% | 3,705 | $6K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 49 | $4K |
| 99382 | <1% | 45 | $3K | |
| 87807 | <1% | 185 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 278 | $946.88 |
| 99383 | <1% | 13 | $757.53 | |
| 96161 | <1% | 5,305 | $629.52 | |
| 81003 | <1% | 751 | $497.35 | |
| 96380 | <1% | 37 | $440.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 129 | $240.68 |
| 99050 | <1% | 13 | $197.21 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 43 | $194.12 |
| 90651 | <1% | 1,157 | $191.27 | |
| 90672 | <1% | 18 | $175.00 | |
| 90686 | <1% | 2,869 | $51.70 | |
| 85018 | <1% | 15 | $9.95 | |
| 36416 | <1% | 6,524 | $6.53 | |
| A7016 | Dome and mouthpiece, used with small volume ultrasonic nebulizer | <1% | 43 | $5.54 |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 48 | $2.70 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 43 | $2.18 |
| 90677 | <1% | 798 | $0.83 | |
| 90621 | <1% | 817 | $0.33 | |
| 90620 | <1% | 24 | $0.06 | |
| 90680 | <1% | 1,631 | $0.01 | |
| 90648 | <1% | 935 | $0.01 | |
| 90670 | <1% | 1,719 | $0.01 | |
| 96127 | 0% | 1,922 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,762 | $0.00 |
| 4037F | 0% | 3,011 | $0.00 | |
| 2001F | 0% | 16,026 | $0.00 | |
| 3008F | 0% | 10,533 | $0.00 | |
| 90619 | 0% | 452 | $0.00 | |
| 90696 | 0% | 268 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 10,864 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 13,476 | $0.00 |
| 2000F | 0% | 4,379 | $0.00 | |
| 90381 | 0% | 41 | $0.00 | |
| 90697 | 0% | 1,468 | $0.00 | |
| 90723 | 0% | 462 | $0.00 | |
| 3752F | 0% | 54 | $0.00 | |
| 4140F | 0% | 321 | $0.00 | |
| 90716 | 0% | 17 | $0.00 | |
| 4015F | 0% | 60 | $0.00 | |
| 90744 | 0% | 18 | $0.00 | |
| 90656 | 0% | 339 | $0.00 | |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | 0% | 69 | $0.00 |
| 3044F | 0% | 41 | $0.00 | |
| 94761 | 0% | 29 | $0.00 | |
| 90660 | 0% | 17 | $0.00 | |
| 90681 | 0% | 125 | $0.00 | |
| 4004F | 0% | 3,549 | $0.00 | |
| 99177 | 0% | 9,768 | $0.00 | |
| 90734 | 0% | 596 | $0.00 | |
| 90700 | 0% | 424 | $0.00 | |
| 90633 | 0% | 1,218 | $0.00 | |
| 3725F | 0% | 4,753 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 2,106 | $0.00 |
| 5250F | 0% | 1,067 | $0.00 | |
| 90710 | 0% | 1,091 | $0.00 | |
| 99173 | 0% | 869 | $0.00 | |
| 90715 | 0% | 388 | $0.00 | |
| 99072 | 0% | 192 | $0.00 | |
| 90707 | 0% | 17 | $0.00 | |
| 90713 | 0% | 20 | $0.00 | |
| 94664 | 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 officialSAUCEDA, DAVID (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| RGV Harlingen Family Night Clinic, PA | Harlingen, TX | $38K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.