Clinic
Gentle Pediatrics
Gentle Pediatrics was paid $847K by Medicaid between May 2020 and Jun 2024, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoGENTLE PEDIATRICS
SUGAR LAND, TX 77479
SUGAR LAND, TX 77479
33aNPI1275826018assigned 05/26/2011
33bProvider typePrimary Care Clinic/Center
28Total paid$847K
24GClaims40,645
24DCodes billed49
24AFirst – last monthMay 2020 – Jun 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Texas
Rank by total paid#17 of 180
Median peer was paid$25K
This provider vs. median34×
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 | 5,302 | $96K | |
| 2021 | 21,363 | $444K | |
| 2022 | 12,030 | $275K | |
| 2023 | 1,148 | $23K | |
| 2024incomplete | 802 | $8K |
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 | 26% | 6,474 | 5,403 | $224K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 1,336 | 1,308 | $102K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 1,033 | 1,008 | $86K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.4% | 958 | 930 | $71K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 7.9% | 1,552 | 1,457 | $67K |
| 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 | 6.4% | 1,066 | 985 | $54K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.7% | 5,988 | 2,541 | $48K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.8% | 1,374 | 1,292 | $32K |
| 99429 | 3.4% | 859 | 851 | $29K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.3% | 4,614 | 4,340 | $28K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 249 | 247 | $22K |
| 99000 | 2.0% | 1,476 | 1,350 | $17K |
37 more codes
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.8% | 1,208 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 950 | $13K |
| 90461 | 1.5% | 1,705 | $13K | |
| 99381 | 1.2% | 151 | $10K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 534 | $7K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 41 | $3K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 244 | $2K |
| 99383 | <1% | 14 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 131 | $1K |
| 99072 | <1% | 2,000 | $464.00 | |
| 94760 | <1% | 299 | $106.91 | |
| 81002 | <1% | 12 | $30.81 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | <1% | 165 | $21.00 |
| 90686 | <1% | 523 | $0.05 | |
| 90687 | <1% | 154 | $0.01 | |
| 90734 | <1% | 49 | $0.01 | |
| 90651 | <1% | 127 | $0.01 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 57 | $0.01 |
| 90633 | 0% | 320 | $0.00 | |
| 90707 | 0% | 74 | $0.00 | |
| 90670 | 0% | 765 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 1,492 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 585 | $0.00 |
| 90710 | 0% | 131 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 50 | $0.00 |
| 90700 | 0% | 31 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| 90696 | 0% | 131 | $0.00 | |
| 90723 | 0% | 403 | $0.00 | |
| 90680 | 0% | 542 | $0.00 | |
| 90647 | 0% | 573 | $0.00 | |
| 90677 | 0% | 17 | $0.00 | |
| 90698 | 0% | 56 | $0.00 | |
| 90716 | 0% | 70 | $0.00 | |
| 1125F | 0% | 15 | $0.00 | |
| 3008F | 0% | 14 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 21 | $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 officialHASNAIN, SHAHID (PRESIDENT)