Clinic
South Padre Island Pediatric Clinic PA
South Padre Island Pediatric Clinic PA was paid $826K by Medicaid between Nov 2020 and Dec 2024, across 30 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoSOUTH PADRE ISLAND PEDIATRIC CLINIC PA
ARANSAS PASS, TX 78336
ARANSAS PASS, TX 78336
33aNPI1225283807assigned 11/24/2008
33bProvider typeRural Health Clinic/Center
28Total paid$826K
24GClaims16,922
24DCodes billed30
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Texas
Rank by total paid#88 of 225
Median peer was paid$428K
This provider vs. median1.9×
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 | 325 | $25K | |
| 2021 | 2,936 | $200K | |
| 2022 | 4,359 | $206K | |
| 2023 | 4,554 | $202K | |
| 2024incomplete | 4,748 | $193K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 97% | 9,386 | 6,507 | $800K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 158 | 151 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 91 | 91 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 33 | 31 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 649 | 509 | $2K |
| 99381 | <1% | 111 | 97 | $442.89 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 259 | 247 | $42.63 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 163 | 112 | $22.84 |
| S8301 | Infection control supplies, not otherwise specified | <1% | 1,844 | 1,467 | $9.50 |
| 96160 | <1% | 321 | 293 | $2.48 | |
| 92551 | 0% | 688 | 671 | $0.00 | |
| 87428 | 0% | 195 | 181 | $0.00 |
18 more codes
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 0% | 676 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 199 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 207 | $0.00 |
| 99050 | 0% | 20 | $0.00 | |
| 96161 | 0% | 219 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 30 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 208 | $0.00 |
| 90686 | 0% | 51 | $0.00 | |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | 0% | 59 | $0.00 |
| 96127 | 0% | 106 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 78 | $0.00 |
| 90651 | 0% | 14 | $0.00 | |
| 90688 | 0% | 37 | $0.00 | |
| 92552 | 0% | 33 | $0.00 | |
| 99173 | 0% | 710 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 74 | $0.00 |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 239 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 64 | $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 officialPOWELL, THERESA (PRACTICE ADMINISTRATOR)