Physician
Head Pediatrics PLLC
Head Pediatrics PLLC was paid $2.37M by Medicaid between May 2020 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoHEAD PEDIATRICS PLLC
NACOGDOCHES, TX 75965
NACOGDOCHES, TX 75965
33aNPI1255725982assigned 03/19/2015
33bProvider typePediatrics Physician
28Total paid$2.37M
24GClaims100,956
24DCodes billed48
24AFirst – last monthMay 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#204 of 1,136
Median peer was paid$329K
This provider vs. median7.2×
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 | 3,900 | $83K | |
| 2021 | 28,813 | $582K | |
| 2022 | 31,539 | $729K | |
| 2023 | 23,107 | $598K | |
| 2024incomplete | 13,597 | $374K |
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 | 30% | 19,295 | 16,618 | $709K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 18% | 5,472 | 5,102 | $428K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 4,875 | 4,774 | $400K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 23,593 | 8,856 | $251K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.6% | 1,507 | 1,472 | $132K |
| 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 | 3.1% | 1,376 | 1,314 | $73K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.5% | 4,046 | 3,801 | $59K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 607 | 593 | $57K |
| 99381 | 2.2% | 677 | 617 | $51K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 1,889 | 1,790 | $45K |
| 90461 | 1.5% | 7,442 | 6,403 | $37K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 727 | 702 | $31K |
36 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 1,896 | $28K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,547 | $22K |
| 87807 | <1% | 949 | $10K | |
| 83655 | <1% | 535 | $6K | |
| 54150 | <1% | 54 | $5K | |
| 99460 | <1% | 64 | $5K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 61 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 78 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 45 | $3K |
| 99383 | <1% | 28 | $3K | |
| 99382 | <1% | 12 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 85 | $1K |
| 88720 | <1% | 506 | $758.43 | |
| 85018 | <1% | 726 | $412.71 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 19 | $162.45 |
| 81002 | <1% | 43 | $139.65 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 43 | $80.93 |
| 90677 | <1% | 452 | $0.64 | |
| 90723 | 0% | 2,332 | $0.00 | |
| 90620 | 0% | 43 | $0.00 | |
| 90698 | 0% | 1,348 | $0.00 | |
| 90686 | 0% | 1,703 | $0.00 | |
| 90716 | 0% | 657 | $0.00 | |
| 90696 | 0% | 461 | $0.00 | |
| 36416 | 0% | 40 | $0.00 | |
| 90651 | 0% | 157 | $0.00 | |
| 90744 | 0% | 12 | $0.00 | |
| 90710 | 0% | 1,012 | $0.00 | |
| 90670 | 0% | 4,138 | $0.00 | |
| 90633 | 0% | 2,230 | $0.00 | |
| 90648 | 0% | 3,192 | $0.00 | |
| 90700 | 0% | 865 | $0.00 | |
| 90734 | 0% | 228 | $0.00 | |
| 90707 | 0% | 665 | $0.00 | |
| 90681 | 0% | 2,153 | $0.00 | |
| 90715 | 0% | 71 | $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 officialHEAD, RYAN (SOLE MEMBER)