LOUETTA PEDIATRICS, PLLC
NPI: 1225401409
· SPRING, TX 77379
· 208000000X
$723K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
1,169 |
$7K |
| 2020 |
2,551 |
$40K |
| 2021 |
9,968 |
$182K |
| 2022 |
9,800 |
$203K |
| 2023 |
7,520 |
$227K |
| 2024 |
2,152 |
$64K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
8,255 |
6,497 |
$298K |
| 99393 |
|
893 |
874 |
$79K |
| 87811 |
|
1,399 |
1,257 |
$59K |
| 87804 |
|
2,260 |
1,791 |
$57K |
| 99392 |
|
651 |
637 |
$51K |
| 99394 |
|
515 |
505 |
$49K |
| 90460 |
|
4,611 |
2,167 |
$46K |
| S8301 |
Infect control supplies nos |
5,670 |
4,677 |
$22K |
| 99429 |
|
438 |
431 |
$16K |
| 87880 |
|
575 |
555 |
$8K |
| 99214 |
|
129 |
125 |
$8K |
| 87807 |
|
530 |
485 |
$6K |
| 96110 |
|
819 |
776 |
$5K |
| 97803 |
|
588 |
559 |
$4K |
| 99391 |
|
52 |
52 |
$4K |
| 90461 |
|
627 |
488 |
$4K |
| 92587 |
|
186 |
182 |
$3K |
| 96160 |
|
2,006 |
1,941 |
$2K |
| 97169 |
|
27 |
27 |
$773.40 |
| 99211 |
|
58 |
51 |
$730.33 |
| 99212 |
|
26 |
24 |
$605.88 |
| 81002 |
|
39 |
38 |
$125.19 |
| 90688 |
|
400 |
393 |
$2.84 |
| 90686 |
|
324 |
302 |
$0.12 |
| 90651 |
|
63 |
62 |
$0.04 |
| 90734 |
|
40 |
40 |
$0.01 |
| G0447 |
Behavior counsel obesity 15m |
1,622 |
1,521 |
$0.00 |
| 90698 |
|
24 |
24 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| 90670 |
|
80 |
79 |
$0.00 |
| 99173 |
|
144 |
141 |
$0.00 |
| 90658 |
|
66 |
64 |
$0.00 |
| 90707 |
|
28 |
27 |
$0.00 |