Physician
Professional Assn for Pediatrics
Professional Assn for Pediatrics was paid $9.14M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoPROFESSIONAL ASSN FOR PEDIATRICS
ABILENE, TX 79601
ABILENE, TX 79601
33aNPI1316957731assigned 08/08/2006
33bProvider typePediatrics Physician
28Total paid$9.14M
24GClaims341,113
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#30 of 1,136
Median peer was paid$329K
This provider vs. median28×
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 | |
|---|---|---|---|
| 2018 | 1,065 | $10K | |
| 2019 | 2,350 | $34K | |
| 2020 | 14,174 | $285K | |
| 2021 | 84,092 | $2.11M | |
| 2022 | 87,034 | $2.46M | |
| 2023 | 84,176 | $2.31M | |
| 2024incomplete | 68,222 | $1.94M |
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 | 33% | 79,319 | 74,107 | $3.05M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 14,443 | 14,266 | $1.20M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 11,906 | 11,673 | $973K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10.0% | 83,600 | 32,484 | $913K |
| 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 | 7.1% | 11,595 | 10,973 | $650K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 6,914 | 6,738 | $597K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 5.9% | 18,723 | 18,029 | $541K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.5% | 4,408 | 4,297 | $414K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.8% | 4,454 | 4,299 | $349K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.8% | 3,171 | 3,071 | $160K |
| 90461 | 1.1% | 22,121 | 18,765 | $103K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 11,642 | 8,031 | $99K |
41 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,820 | $46K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,833 | $19K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 171 | $11K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 41 | $4K |
| 0071A | <1% | 114 | $4K | |
| 0072A | <1% | 52 | $2K | |
| 96380 | <1% | 109 | $1K | |
| 99463 | <1% | 13 | $1K | |
| 87634 | <1% | 18 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 79 | $1K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 87 | $971.10 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $883.26 |
| 81002 | <1% | 296 | $852.84 | |
| 90671 | <1% | 1,570 | $247.86 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 13 | $80.79 |
| 90686 | <1% | 10,592 | $18.61 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 86 | $11.20 |
| 90677 | <1% | 2,777 | $3.62 | |
| 91307 | <1% | 210 | $0.34 | |
| 90381 | <1% | 36 | $0.04 | |
| 90651 | <1% | 1,178 | $0.03 | |
| 90380 | <1% | 19 | $0.03 | |
| 90620 | <1% | 115 | $0.02 | |
| 90707 | <1% | 3,367 | $0.01 | |
| 90716 | 0% | 3,355 | $0.00 | |
| 90723 | 0% | 7,596 | $0.00 | |
| 90696 | 0% | 511 | $0.00 | |
| 90656 | 0% | 1,400 | $0.00 | |
| J8540 | Dexamethasone, oral, 0.25 mg | 0% | 13 | $0.00 |
| 90648 | 0% | 10,611 | $0.00 | |
| 90670 | 0% | 6,359 | $0.00 | |
| 90681 | 0% | 3,766 | $0.00 | |
| 90633 | 0% | 4,286 | $0.00 | |
| 99173 | 0% | 2,295 | $0.00 | |
| 90734 | 0% | 1,353 | $0.00 | |
| 90685 | 0% | 810 | $0.00 | |
| 90700 | 0% | 346 | $0.00 | |
| 90715 | 0% | 325 | $0.00 | |
| 92552 | 0% | 1,121 | $0.00 | |
| 99051 | 0% | 35 | $0.00 | |
| 99177 | 0% | 25 | $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 officialTUEGEL, ARTHUR (PRESIDENT)