Physician
M & M Pediatrics, PLLC
M & M Pediatrics, PLLC was paid $6.49M by Medicaid between Jan 2018 and Dec 2024, across 85 billing codes. Its largest line is 87428, — 17% of everything it billed.
33Billing provider infoM & M PEDIATRICS, PLLC
BROWNSVILLE, TX 78521
BROWNSVILLE, TX 78521
33aNPI1235170606assigned 06/09/2006
33bProvider typePediatrics Physician
28Total paid$6.49M
24GClaims426,000
24DCodes billed85
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#56 of 1,136
Median peer was paid$329K
This provider vs. median20×
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 | 568 | $17K | |
| 2019 | 622 | $20K | |
| 2020 | 14,896 | $180K | |
| 2021 | 109,375 | $1.50M | |
| 2022 | 124,013 | $2.14M | |
| 2023 | 102,909 | $1.73M | |
| 2024incomplete | 73,617 | $897K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87428 | 17% | 16,223 | 14,579 | $1.10M | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 85,046 | 67,259 | $857K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.8% | 6,618 | 6,479 | $569K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.7% | 7,000 | 6,928 | $567K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 8.0% | 14,429 | 13,240 | $520K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 6,044 | 5,926 | $458K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.8% | 35,827 | 17,172 | $378K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.4% | 4,862 | 4,545 | $353K |
| S8301 | Infection control supplies, not otherwise specified | 4.7% | 26,084 | 23,357 | $308K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.1% | 5,281 | 4,844 | $202K |
| 99429 | 2.7% | 5,504 | 5,402 | $177K | |
| 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 | 2.3% | 9,061 | 8,517 | $151K |
73 more codes
| 99051 | 2.0% | 26,463 | $128K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.2% | 1,030 | $80K |
| 90832 | Psychotherapy session, about 30 minutes | 1.1% | 1,231 | $69K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 6,202 | $49K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13,025 | $46K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 8,974 | $45K |
| 99000 | <1% | 19,528 | $43K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 541 | $40K |
| 90461 | <1% | 4,393 | $30K | |
| 99050 | <1% | 2,578 | $30K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,556 | $29K |
| 0071A | <1% | 691 | $27K | |
| 0001A | <1% | 673 | $26K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 495 | $25K |
| 99381 | <1% | 298 | $24K | |
| 86580 | <1% | 2,612 | $18K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 7,480 | $17K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 220 | $17K |
| 96160 | <1% | 6,492 | $14K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,149 | $13K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,688 | $12K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 406 | $12K |
| 0002A | <1% | 266 | $11K | |
| 87807 | <1% | 2,230 | $10K | |
| 0072A | <1% | 176 | $7K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 3,241 | $5K |
| 90480 | <1% | 130 | $4K | |
| 0003A | <1% | 84 | $3K | |
| 81002 | <1% | 3,307 | $2K | |
| 0081A | <1% | 78 | $2K | |
| 90837 | Psychotherapy session, about an hour | <1% | 17 | $2K |
| 94010 | <1% | 171 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 89 | $1K |
| 97169 | <1% | 142 | $1K | |
| 86318 | <1% | 352 | $991.40 | |
| 0073A | <1% | 16 | $600.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 21 | $563.29 |
| 96380 | <1% | 40 | $439.07 | |
| 90686 | <1% | 7,429 | $332.98 | |
| 99242 | <1% | 24 | $269.76 | |
| 81025 | <1% | 122 | $173.52 | |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | <1% | 9,096 | $157.96 |
| 92567 | <1% | 37 | $149.88 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 889 | $131.38 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 40 | $75.80 |
| 90651 | <1% | 2,033 | $66.18 | |
| 96161 | <1% | 442 | $22.50 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 164 | $4.87 |
| 85018 | <1% | 12 | $3.99 | |
| 90677 | <1% | 867 | $0.49 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 9,104 | $0.39 |
| 90620 | <1% | 1,838 | $0.38 | |
| 90734 | <1% | 2,196 | $0.01 | |
| 90723 | 0% | 2,578 | $0.00 | |
| 90716 | 0% | 1,911 | $0.00 | |
| 3008F | 0% | 9,107 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 15,746 | $0.00 |
| 90680 | 0% | 2,353 | $0.00 | |
| 96127 | 0% | 359 | $0.00 | |
| 90698 | 0% | 370 | $0.00 | |
| 90696 | 0% | 574 | $0.00 | |
| 36416 | 0% | 12 | $0.00 | |
| 91307 | 0% | 675 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 38 | $0.00 |
| 90670 | 0% | 2,627 | $0.00 | |
| 90633 | 0% | 1,873 | $0.00 | |
| 90648 | 0% | 2,586 | $0.00 | |
| 90715 | 0% | 860 | $0.00 | |
| 90672 | 0% | 15 | $0.00 | |
| 90707 | 0% | 1,879 | $0.00 | |
| 91300 | 0% | 945 | $0.00 | |
| 91308 | 0% | 107 | $0.00 | |
| 91321 | 0% | 28 | $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 officialALI, MIR (PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Gene Street, LLC. | Houston, TX | $1.99M |
| Ali Lung Clinic PC | Smithfield, NC | $375K |
| Infectious Diseases & Epidemiology PC | Hopewell, VA | $237K |
| Pulmonology & Bronchology | Clayton, NC | $169K |
| M & M North, LLP | Brownsville, TX | $114K |
| Medina Primary Care PLLC | Plano, TX | $104K |
| M & M Pediatrics, PLLC | Brownsville, TX | $75K |
| Diagnostic Heart Center, INC | Arcadia, CA | $39K |
| Smithfield Pulmonology | Smithfield, NC | $30K |
| Mir M Ali M D a Professional Corporation | Anaheim, CA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.