Physician
Pediatric Associates at Ridge
Pediatric Associates at Ridge was paid $5.35M by Medicaid between Jan 2018 and Dec 2024, across 110 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES AT RIDGE
MCALLEN, TX 78503
MCALLEN, TX 78503
33aNPI1255604179assigned 02/23/2012
33bProvider typePediatrics Physician
28Total paid$5.35M
24GClaims307,611
24DCodes billed110
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#76 of 1,136
Median peer was paid$329K
This provider vs. median16×
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 | 327 | $10K | |
| 2019 | 219 | $6K | |
| 2020 | 13,549 | $188K | |
| 2021 | 68,352 | $1.16M | |
| 2022 | 81,660 | $1.59M | |
| 2023 | 76,704 | $1.29M | |
| 2024incomplete | 66,800 | $1.12M |
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 | 29% | 42,954 | 34,135 | $1.57M |
| 87428 | 9.2% | 8,818 | 8,301 | $491K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.8% | 6,282 | 6,167 | $472K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.5% | 4,693 | 4,569 | $348K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 4,057 | 3,978 | $320K |
| 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 | 5.8% | 6,104 | 5,484 | $312K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.2% | 25,623 | 12,112 | $276K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.2% | 2,711 | 2,611 | $226K |
| 99429 | 3.4% | 5,696 | 5,606 | $182K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.3% | 4,239 | 3,702 | $174K |
| 99000 | 2.2% | 12,118 | 11,196 | $119K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.2% | 8,626 | 8,184 | $115K |
98 more codes
| 92587 | 1.7% | 10,587 | $89K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 9,993 | $79K |
| 99381 | 1.3% | 920 | $71K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.1% | 9,277 | $59K |
| 87807 | <1% | 4,655 | $49K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 657 | $39K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,899 | $38K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,599 | $30K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,162 | $28K |
| 90461 | <1% | 13,826 | $26K | |
| 97802 | <1% | 9,438 | $22K | |
| 94010 | <1% | 903 | $21K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 282 | $19K |
| 83655 | <1% | 1,741 | $17K | |
| 85027 | <1% | 3,120 | $16K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,856 | $13K |
| 0071A | <1% | 325 | $12K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 916 | $12K |
| 0072A | <1% | 299 | $12K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 820 | $10K |
| 90480 | <1% | 330 | $8K | |
| 0081A | <1% | 218 | $8K | |
| 99383 | <1% | 72 | $6K | |
| 0001A | <1% | 181 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 565 | $6K |
| 0003A | <1% | 149 | $6K | |
| 81003 | <1% | 3,090 | $6K | |
| 0124A | <1% | 129 | $5K | |
| 0082A | <1% | 123 | $5K | |
| 96160 | <1% | 3,997 | $5K | |
| 0154A | <1% | 119 | $5K | |
| 0002A | <1% | 107 | $4K | |
| 90686 | <1% | 4,154 | $3K | |
| 0073A | <1% | 71 | $3K | |
| 92567 | <1% | 199 | $3K | |
| 90651 | <1% | 900 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 59 | $2K |
| 94060 | <1% | 65 | $2K | |
| 96380 | <1% | 84 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 9,180 | $1K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 280 | $981.24 |
| 99382 | <1% | 12 | $972.77 | |
| 0173A | <1% | 26 | $934.00 | |
| 90473 | <1% | 110 | $715.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,790 | $701.53 |
| 90677 | <1% | 833 | $668.78 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 438 | $584.82 |
| 0141A | <1% | 14 | $520.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 59 | $422.04 |
| 90671 | <1% | 438 | $335.11 | |
| 86580 | <1% | 38 | $262.80 | |
| 90670 | <1% | 2,773 | $216.82 | |
| 90716 | <1% | 979 | $171.70 | |
| 84030 | <1% | 32 | $153.90 | |
| 87081 | <1% | 16 | $122.24 | |
| 90707 | <1% | 958 | $96.11 | |
| 90656 | <1% | 775 | $52.41 | |
| 90633 | <1% | 2,028 | $26.60 | |
| 81001 | <1% | 23 | $26.60 | |
| 90648 | <1% | 1,084 | $18.80 | |
| 99173 | <1% | 8,257 | $10.32 | |
| 85018 | <1% | 24 | $5.97 | |
| 90381 | <1% | 168 | $2.10 | |
| 90380 | <1% | 86 | $1.05 | |
| 91319 | <1% | 106 | $1.05 | |
| 91320 | <1% | 18 | $1.00 | |
| 3078F | <1% | 7,770 | $0.35 | |
| 2000F | <1% | 8,066 | $0.35 | |
| 3074F | <1% | 7,910 | $0.35 | |
| 91318 | <1% | 144 | $0.35 | |
| 91300 | 0% | 500 | $0.00 | |
| 90710 | 0% | 698 | $0.00 | |
| 90734 | 0% | 646 | $0.00 | |
| 90700 | 0% | 935 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 1,020 | $0.00 |
| 91308 | 0% | 392 | $0.00 | |
| 90715 | 0% | 179 | $0.00 | |
| 91312 | 0% | 121 | $0.00 | |
| 90685 | 0% | 71 | $0.00 | |
| 90698 | 0% | 1,927 | $0.00 | |
| 96127 | 0% | 1,223 | $0.00 | |
| 91307 | 0% | 763 | $0.00 | |
| 91317 | 0% | 81 | $0.00 | |
| 90723 | 0% | 127 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 14,693 | $0.00 |
| 36416 | 0% | 12 | $0.00 | |
| 90680 | 0% | 2,891 | $0.00 | |
| 90744 | 0% | 1,111 | $0.00 | |
| 90696 | 0% | 694 | $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) | 0% | 547 | $0.00 |
| 90697 | 0% | 937 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 430 | $0.00 |
| 3079F | 0% | 71 | $0.00 | |
| 91315 | 0% | 148 | $0.00 | |
| 3075F | 0% | 13 | $0.00 | |
| 3027F | 0% | 84 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 36 | $0.00 |
| 91314 | 0% | 18 | $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 officialROBLEDO, IRMA (OFFICE MANAGER)