SOUTH PADRE ISLAND PEDIATRIC CLINIC PA
NPI: 1225283807
· ARANSAS PASS, TX 78336
· 261QR1300X
$826K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
325 |
$25K |
| 2021 |
2,936 |
$200K |
| 2022 |
4,359 |
$206K |
| 2023 |
4,554 |
$202K |
| 2024 |
4,748 |
$193K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
9,386 |
6,507 |
$800K |
| 99394 |
|
158 |
151 |
$12K |
| 99393 |
|
91 |
91 |
$8K |
| 99392 |
|
33 |
31 |
$3K |
| 99213 |
|
649 |
509 |
$2K |
| 99381 |
|
111 |
97 |
$442.89 |
| 90471 |
|
259 |
247 |
$42.63 |
| 90472 |
|
163 |
112 |
$22.84 |
| S8301 |
Infect control supplies nos |
1,844 |
1,467 |
$9.50 |
| 96160 |
|
321 |
293 |
$2.48 |
| 92551 |
|
688 |
671 |
$0.00 |
| 87428 |
|
195 |
181 |
$0.00 |
| S0302 |
Completed epsdt |
676 |
665 |
$0.00 |
| G0439 |
Ppps, subseq visit |
199 |
199 |
$0.00 |
| 87426 |
|
207 |
193 |
$0.00 |
| 99050 |
|
20 |
17 |
$0.00 |
| 96161 |
|
219 |
197 |
$0.00 |
| 96110 |
|
30 |
28 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
208 |
208 |
$0.00 |
| 90686 |
|
51 |
51 |
$0.00 |
| G9716 |
Bmi doc onl fup not cmpltd |
59 |
59 |
$0.00 |
| 96127 |
|
106 |
103 |
$0.00 |
| 99214 |
|
78 |
75 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90688 |
|
37 |
37 |
$0.00 |
| 92552 |
|
33 |
32 |
$0.00 |
| 99173 |
|
710 |
692 |
$0.00 |
| 87804 |
|
74 |
36 |
$0.00 |
| G0270 |
Mnt subs tx for change dx |
239 |
239 |
$0.00 |
| 87880 |
|
64 |
59 |
$0.00 |