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PEDIATRIC AND ADOLESCENT CENTER OF NW HOUSTON, P A
PEDIATRIC AND ADOLESCENT CENTER OF NW HOUSTON, P A
NPI: 1255337812
· TOMBALL, TX 77375
· 208000000X
$1.04M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,167 |
$19K |
| 2021 |
15,672 |
$346K |
| 2022 |
11,511 |
$369K |
| 2023 |
7,443 |
$183K |
| 2024 |
4,338 |
$122K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87428 |
|
6,438 |
2,168 |
$422K |
| 99213 |
|
8,319 |
7,591 |
$288K |
| 99214 |
|
1,917 |
1,814 |
$96K |
| 99392 |
|
608 |
591 |
$45K |
| 92587 |
|
2,634 |
2,575 |
$41K |
| 90460 |
|
3,926 |
1,767 |
$31K |
| 87880 |
|
1,949 |
1,837 |
$26K |
| 99393 |
|
308 |
302 |
$24K |
| 90471 |
|
1,415 |
1,386 |
$19K |
| 99394 |
|
157 |
154 |
$14K |
| 99000 |
|
977 |
929 |
$11K |
| 90472 |
|
760 |
388 |
$8K |
| 87426 |
|
86 |
86 |
$4K |
| 90461 |
|
410 |
348 |
$3K |
| 87804 |
|
178 |
86 |
$3K |
| 99391 |
|
31 |
24 |
$2K |
| 87807 |
|
151 |
142 |
$2K |
| 96110 |
|
166 |
126 |
$1K |
| 99050 |
|
41 |
38 |
$556.51 |
| 96160 |
|
226 |
224 |
$452.25 |
| 99051 |
|
16 |
14 |
$108.78 |
| 90686 |
|
822 |
794 |
$2.65 |
| 1033F |
|
4,533 |
4,306 |
$0.00 |
| 99072 |
|
4,741 |
4,247 |
$0.00 |
| 90671 |
|
16 |
12 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
172 |
172 |
$0.00 |
| 90656 |
|
96 |
96 |
$0.00 |
| 99058 |
|
13 |
12 |
$0.00 |