Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BLUEBONNET PEDIATRICS PLLC

NPI: 1316577216 · NEW BRAUNFELS, TX 78130 · Pediatrics Physician · NPI assigned 01/20/2020

$56K
Total Medicaid Paid
1,571
Total Claims
1,317
Beneficiaries
6
Codes Billed
2020-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGARCIA, MELISSA (OWNER)
NPI Enumeration Date01/20/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 182 $3K
2021 457 $16K
2022 475 $18K
2023 302 $12K
2024 155 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 864 754 $40K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 257 237 $8K
87428 86 81 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 268 150 $2K
90686 83 82 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 13 13 $0.00