Clinic
Texas Pediatric Clinic
Texas Pediatric Clinic was paid $2.11M by Medicaid between Oct 2019 and Dec 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoTEXAS PEDIATRIC CLINIC
HOUSTON, TX 77090
HOUSTON, TX 77090
33aNPI1295041820assigned 08/20/2010
33bProvider typePrimary Care Clinic/Center
28Total paid$2.11M
24GClaims86,069
24DCodes billed64
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Texas
Rank by total paid#6 of 180
Median peer was paid$25K
This provider vs. median84×
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 | |
|---|---|---|---|
| 2019 | 2,168 | $49K | |
| 2020 | 11,024 | $291K | |
| 2021 | 17,722 | $450K | |
| 2022 | 27,877 | $671K | |
| 2023 | 18,957 | $468K | |
| 2024incomplete | 8,321 | $184K |
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 | 36% | 20,006 | 16,454 | $759K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 2,845 | 2,798 | $233K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 2,542 | 2,517 | $222K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.4% | 2,084 | 2,051 | $198K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.3% | 14,777 | 7,066 | $155K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.2% | 1,978 | 1,921 | $152K |
| 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 | 5.1% | 2,039 | 1,924 | $107K |
| 99000 | 3.0% | 5,836 | 5,395 | $63K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 2.9% | 1,185 | 1,144 | $62K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 2,058 | 1,978 | $30K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 1,867 | 906 | $27K |
| 90461 | <1% | 3,907 | 3,269 | $19K |
52 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,703 | $18K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,295 | $15K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 318 | $14K |
| 83655 | <1% | 753 | $8K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 138 | $8K |
| 99383 | <1% | 33 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 179 | $3K |
| 90474 | <1% | 308 | $3K | |
| 69210 | <1% | 62 | $3K | |
| 92551 | <1% | 785 | $2K | |
| 99381 | <1% | 28 | $2K | |
| 99050 | <1% | 86 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $999.41 |
| S8301 | Infection control supplies, not otherwise specified | <1% | 184 | $968.50 |
| 97803 | <1% | 491 | $600.30 | |
| 81002 | <1% | 172 | $504.76 | |
| 87807 | <1% | 47 | $498.30 | |
| 97169 | <1% | 29 | $480.00 | |
| 85018 | <1% | 754 | $343.52 | |
| 90619 | <1% | 192 | $319.16 | |
| 90651 | <1% | 839 | $250.00 | |
| 80061 | Lipid panel | <1% | 120 | $188.40 |
| 36416 | <1% | 1,745 | $129.36 | |
| 90686 | <1% | 2,726 | $117.16 | |
| 96160 | <1% | 319 | $67.73 | |
| H0033 | Oral medication administration, direct observation | <1% | 90 | $52.06 |
| A9150 | Non-prescription drugs | <1% | 32 | $40.00 |
| 90633 | <1% | 860 | $39.15 | |
| S8101 | Holding chamber or spacer for use with an inhaler or nebulizer; with mask | <1% | 105 | $28.00 |
| 99173 | <1% | 1,018 | $10.50 | |
| 94760 | <1% | 28 | $5.88 | |
| 90670 | 0% | 1,557 | $0.00 | |
| 90700 | 0% | 153 | $0.00 | |
| 90648 | 0% | 848 | $0.00 | |
| 90734 | 0% | 525 | $0.00 | |
| 90715 | 0% | 229 | $0.00 | |
| 90710 | 0% | 302 | $0.00 | |
| 90707 | 0% | 83 | $0.00 | |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | 0% | 391 | $0.00 |
| 94664 | 0% | 163 | $0.00 | |
| 90677 | 0% | 329 | $0.00 | |
| 90620 | 0% | 537 | $0.00 | |
| 90696 | 0% | 224 | $0.00 | |
| 96127 | 0% | 259 | $0.00 | |
| 90680 | 0% | 1,275 | $0.00 | |
| 90716 | 0% | 85 | $0.00 | |
| 90697 | 0% | 367 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 514 | $0.00 |
| 90698 | 0% | 152 | $0.00 | |
| 90723 | 0% | 367 | $0.00 | |
| 99070 | 0% | 100 | $0.00 | |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | 0% | 31 | $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 officialPORRAS, ROBBIE (BILLING SUPERVISOR)