Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Midlothian › NPI 1295340024
Clinic

Pressley Pediatrics

Pressley Pediatrics was paid $227K by Medicaid between Jul 2021 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

33Billing provider infoPRESSLEY PEDIATRICS
MIDLOTHIAN, TX 76065
33aNPI1295340024assigned 09/09/2020
28Total paid$227K
24GClaims8,356
24DCodes billed30
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers

Next to other Primary Care Clinic/Center providers in Texas

Rank by total paid#47 of 180
Median peer was paid$25K
This provider vs. median9.0×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2021396$6K
20221,884$45K
20233,514$92K
2024incomplete2,562$83K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34% 2,420 2,165 $78K
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 21% 1,032 963 $47K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 17% 652 525 $40K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13% 407 402 $30K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.9% 812 753 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.8% 547 534 $6K
90472 Immunization administration, each additional vaccine (list separately) 2.0% 406 398 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.9% 54 53 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 1.1% 240 188 $2K
92551 <1% 377 363 $2K
99383 <1% 15 15 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 69 64 $1K
18 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 140 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 13 $1K
90474 <1% 41 $362.81
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 14 $271.38
90461 <1% 61 $106.36
90677 <1% 91 $75.43
81002 <1% 40 $68.17
87807 <1% 14 $61.32
S8301 Infection control supplies, not otherwise specified <1% 17 $17.50
90648 <1% 99 $0.01
90680 0% 110 $0.00
90698 0% 12 $0.00
90723 0% 25 $0.00
90686 0% 14 $0.00
99173 0% 397 $0.00
90670 0% 156 $0.00
90710 0% 40 $0.00
90633 0% 41 $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 officialPRESSLEY, CYNTHIA (OWNER)