Physician
Children Care Clinic LP
Children Care Clinic LP was paid $7.28M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoCHILDREN CARE CLINIC LP
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1255373809assigned 06/11/2006
33bProvider typePediatrics Physician
28Total paid$7.28M
24GClaims305,847
24DCodes billed74
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#47 of 1,136
Median peer was paid$329K
This provider vs. median22×
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 | 360 | $10K | |
| 2019 | 864 | $19K | |
| 2020 | 10,276 | $224K | |
| 2021 | 68,794 | $1.62M | |
| 2022 | 84,690 | $2.07M | |
| 2023 | 75,006 | $1.76M | |
| 2024incomplete | 65,857 | $1.57M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 70,517 | 57,909 | $2.47M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 6,250 | 6,077 | $488K |
| 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 | 5.7% | 8,725 | 7,457 | $417K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.4% | 4,997 | 4,868 | $393K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 5,214 | 5,039 | $387K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.0% | 15,482 | 13,885 | $365K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.5% | 25,036 | 23,486 | $324K |
| 87428 | 4.5% | 5,094 | 4,808 | $324K | |
| 94014 | 4.4% | 7,353 | 7,192 | $317K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.4% | 24,215 | 13,215 | $247K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.4% | 6,660 | 6,125 | $245K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 3,252 | 3,121 | $235K |
62 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.2% | 17,902 | $230K |
| 92567 | 2.8% | 20,562 | $207K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.3% | 15,714 | $97K |
| 99429 | <1% | 2,334 | $70K | |
| S8301 | Infection control supplies, not otherwise specified | <1% | 7,148 | $66K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,099 | $61K |
| 87807 | <1% | 5,621 | $59K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 607 | $43K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,135 | $32K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,968 | $31K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 788 | $29K |
| 90461 | <1% | 5,713 | $22K | |
| 86769 | <1% | 517 | $19K | |
| 99000 | <1% | 1,480 | $13K | |
| 99381 | <1% | 151 | $12K | |
| 99050 | <1% | 704 | $10K | |
| 86308 | <1% | 2,270 | $9K | |
| 99441 | <1% | 381 | $6K | |
| 96161 | <1% | 3,649 | $6K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 449 | $6K |
| 99051 | <1% | 1,455 | $6K | |
| 83655 | <1% | 603 | $6K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 2,974 | $5K |
| 81003 | <1% | 2,279 | $4K | |
| CP002 | <1% | 331 | $3K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 272 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 157 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $1K |
| 97169 | <1% | 262 | $1K | |
| 86580 | <1% | 70 | $511.80 | |
| 87400 | <1% | 29 | $337.75 | |
| 90651 | <1% | 1,134 | $322.09 | |
| 90619 | <1% | 656 | $195.39 | |
| 90686 | <1% | 5,791 | $186.60 | |
| 90380 | <1% | 12 | $173.25 | |
| 84030 | <1% | 30 | $115.61 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 17 | $23.52 |
| 90656 | <1% | 771 | $17.49 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 456 | $13.08 |
| 90671 | <1% | 1,106 | $1.17 | |
| 90621 | <1% | 162 | $0.16 | |
| 90677 | <1% | 80 | $0.05 | |
| 90633 | 0% | 1,168 | $0.00 | |
| 90710 | 0% | 621 | $0.00 | |
| 90707 | 0% | 251 | $0.00 | |
| 90715 | 0% | 370 | $0.00 | |
| 90670 | 0% | 1,284 | $0.00 | |
| 90734 | 0% | 397 | $0.00 | |
| 90713 | 0% | 45 | $0.00 | |
| 90648 | 0% | 265 | $0.00 | |
| 90700 | 0% | 299 | $0.00 | |
| 94664 | 0% | 31 | $0.00 | |
| 90696 | 0% | 300 | $0.00 | |
| 90698 | 0% | 873 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 637 | $0.00 |
| 90697 | 0% | 848 | $0.00 | |
| 90680 | 0% | 1,529 | $0.00 | |
| 90620 | 0% | 335 | $0.00 | |
| 90744 | 0% | 433 | $0.00 | |
| 90716 | 0% | 241 | $0.00 | |
| 36416 | 0% | 261 | $0.00 | |
| 90381 | 0% | 12 | $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 officialMERCADO, ALLAN (MD)
| Provider | Location | Paid |
|---|---|---|
| Alton Childrens Care Clinic, P.A. | Alton, TX | $1.80M |
| Donna Children's Care Clinic PLLC | Donna, TX | $363K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.