Physician
Practical Approach Pediatrics PLLC
Practical Approach Pediatrics PLLC was paid $96K by Medicaid between Oct 2020 and Dec 2021, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoPRACTICAL APPROACH PEDIATRICS PLLC
SAN ANTONIO, TX 78240
SAN ANTONIO, TX 78240
33aNPI1235420068assigned 04/27/2011
33bProvider typePediatrics Physician
28Total paid$96K
24GClaims3,751
24DCodes billed19
24AFirst – last monthOct 2020 – Dec 2021
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#734 of 1,136
Median peer was paid$329K
This provider vs. median0.3×
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 | 492 | $12K | |
| 2021 | 3,259 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 39% | 799 | 703 | $38K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 18% | 231 | 228 | $17K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 231 | 227 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 154 | 149 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.8% | 898 | 854 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.9% | 47 | 44 | $4K |
| 92551 | 2.2% | 450 | 442 | $2K | |
| 99174 | <1% | 381 | 373 | $301.76 | |
| 92552 | <1% | 18 | 18 | $277.86 | |
| 94060 | <1% | 27 | 26 | $266.54 | |
| 94726 | <1% | 27 | 26 | $265.14 | |
| 96161 | <1% | 161 | 151 | $252.42 |
7 more codes
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 officialADETONA, OLUTOLA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Practical Approach Pediatric Urgent Care PLLC | San Antonio, TX | $56K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.