Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › MCALLEN › PEDIATRIC ASSOCIATES AT RIDGE

PEDIATRIC ASSOCIATES AT RIDGE

NPI: 1255604179 · MCALLEN, TX 78503 · Pediatrics Physician · NPI assigned 02/23/2012

$5.35M
Total Medicaid Paid
307,611
Total Claims
264,060
Beneficiaries
110
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROBLEDO, IRMA (OFFICE MANAGER)
NPI Enumeration Date02/23/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 327 $10K
2019 219 $6K
2020 13,549 $188K
2021 68,352 $1.16M
2022 81,660 $1.59M
2023 76,704 $1.29M
2024 66,800 $1.12M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42,954 34,135 $1.57M
87428 8,818 8,301 $491K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,282 6,167 $472K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,693 4,569 $348K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,057 3,978 $320K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,104 5,484 $312K
90460 Immunization administration through 18 years of age via any route, first or only component 25,623 12,112 $276K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,711 2,611 $226K
99429 5,696 5,606 $182K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,239 3,702 $174K
99000 12,118 11,196 $119K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,626 8,184 $115K
92587 10,587 10,293 $89K
96110 Developmental screening, with scoring and documentation, per standardized instrument 9,993 8,055 $79K
99381 920 902 $71K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,277 8,443 $59K
87807 4,655 4,356 $49K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 657 645 $39K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,899 1,397 $38K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,599 2,338 $30K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,162 1,150 $28K
90461 13,826 6,019 $26K
97802 9,438 9,123 $22K
94010 903 853 $21K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 282 264 $19K
83655 1,741 1,709 $17K
85027 3,120 3,058 $16K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,856 1,703 $13K
0071A 325 319 $12K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 916 871 $12K
0072A 299 299 $12K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 820 807 $10K
90480 330 323 $8K
0081A 218 215 $8K
99383 72 71 $6K
0001A 181 179 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 565 534 $6K
0003A 149 145 $6K
81003 3,090 2,840 $6K
0124A 129 127 $5K
0082A 123 123 $5K
96160 3,997 3,182 $5K
0154A 119 119 $5K
0002A 107 107 $4K
90686 4,154 4,093 $3K
0073A 71 69 $3K
92567 199 189 $3K
90651 900 871 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 59 55 $2K
94060 65 58 $2K
96380 84 84 $2K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 9,180 8,850 $1K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 280 273 $981.24
99382 12 12 $972.77
0173A 26 26 $934.00
90473 110 108 $715.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,790 1,673 $701.53
90677 833 795 $668.78
J0696 Injection, ceftriaxone sodium, per 250 mg 438 377 $584.82
0141A 14 14 $520.00
90472 Immunization administration, each additional vaccine (list separately) 59 28 $422.04
90671 438 434 $335.11
86580 38 37 $262.80
90670 2,773 2,729 $216.82
90716 979 963 $171.70
84030 32 31 $153.90
87081 16 12 $122.24
90707 958 942 $96.11
90656 775 770 $52.41
90633 2,028 1,988 $26.60
81001 23 18 $26.60
90648 1,084 1,060 $18.80
99173 8,257 7,966 $10.32
85018 24 24 $5.97
90381 168 161 $2.10
90380 86 84 $1.05
91319 106 98 $1.05
91320 18 17 $1.00
3078F 7,770 7,533 $0.35
2000F 8,066 7,771 $0.35
3074F 7,910 7,676 $0.35
91318 144 136 $0.35
91300 500 456 $0.00
90710 698 686 $0.00
90734 646 626 $0.00
90700 935 912 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 1,020 988 $0.00
91308 392 374 $0.00
90715 179 176 $0.00
91312 121 118 $0.00
90685 71 70 $0.00
90698 1,927 1,897 $0.00
96127 1,223 1,168 $0.00
91307 763 702 $0.00
91317 81 75 $0.00
90723 127 127 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14,693 14,230 $0.00
36416 12 12 $0.00
90680 2,891 2,829 $0.00
90744 1,111 1,093 $0.00
90696 694 684 $0.00
S3620 Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) 547 529 $0.00
90697 937 896 $0.00
D1208 Topical application of fluoride, excluding varnish 430 417 $0.00
3079F 71 69 $0.00
91315 148 148 $0.00
3075F 13 13 $0.00
3027F 84 73 $0.00
36415 Collection of venous blood by venipuncture 36 36 $0.00
91314 18 17 $0.00