NP / PA
Smartstart Pediatrics, PLLC
Smartstart Pediatrics, PLLC was paid $107K by Medicaid between Feb 2022 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoSMARTSTART PEDIATRICS, PLLC
EL PASO, TX 79911
EL PASO, TX 79911
33aNPI1265016109assigned 05/06/2021
33bProvider typePediatric Nurse Practitioner
28Total paid$107K
24GClaims5,595
24DCodes billed21
24AFirst – last monthFeb 2022 – Dec 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Texas
Rank by total paid#19 of 51
Median peer was paid$10K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2022 | 278 | $6K | |
| 2023 | 1,592 | $29K | |
| 2024incomplete | 3,725 | $72K |
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 | 39% | 1,041 | 632 | $42K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 22% | 2,303 | 556 | $24K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 241 | 146 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.0% | 103 | 71 | $6K |
| 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 | 5.6% | 116 | 78 | $6K |
| 90461 | 5.0% | 397 | 231 | $5K | |
| 99223 | Prolong inpt eval add15 m | 2.4% | 53 | 40 | $3K |
| 92557 | 2.3% | 181 | 126 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.1% | 321 | 111 | $2K |
| 99177 | 1.5% | 202 | 129 | $2K | |
| 90671 | <1% | 39 | 26 | $738.64 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 15 | 12 | $658.05 |
9 more codes
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 officialHERNANDEZ, PAULINA (PRESIDENT)