Physician
Dell Children's Medical Group
Dell Children's Medical Group was paid $11.07M by Medicaid between Oct 2019 and Dec 2024, across 103 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoDELL CHILDREN'S MEDICAL GROUP
AUSTIN, TX 78723
AUSTIN, TX 78723
33aNPI1326072943assigned 07/10/2006
33bProvider typeClinical Genetics (M.D.) Physician
28Total paid$11.07M
24GClaims314,435
24DCodes billed103
24AFirst – last monthOct 2019 – Dec 2024
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 | 47 | $15.99 | |
| 2020 | 5,258 | $284K | |
| 2021 | 70,653 | $2.73M | |
| 2022 | 95,921 | $3.12M | |
| 2023 | 103,713 | $3.33M | |
| 2024incomplete | 38,843 | $1.60M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 24% | 49,829 | 47,781 | $2.65M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 10% | 17,788 | 7,081 | $1.13M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 18,772 | 18,084 | $728K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.3% | 7,303 | 7,066 | $695K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.8% | 11,089 | 5,130 | $536K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.5% | 6,419 | 6,099 | $503K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.3% | 7,506 | 7,294 | $481K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 4.3% | 3,560 | 3,455 | $475K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.0% | 3,179 | 3,087 | $336K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 2.4% | 1,534 | 1,411 | $270K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.4% | 4,337 | 4,189 | $267K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.9% | 887 | 853 | $210K |
91 more codes
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.8% | 2,394 | $203K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.7% | 1,425 | $184K |
| 99205 | Prolong outpt/office vis | 1.5% | 1,674 | $166K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.4% | 1,618 | $155K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.4% | 1,449 | $152K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 994 | $127K |
| 94010 | 1.1% | 5,410 | $125K | |
| 99255 | 1.1% | 790 | $123K | |
| D8670 | Periodic orthodontic treatment visit | 1.0% | 3,152 | $114K |
| 92015 | Determination of refractive state | <1% | 5,525 | $93K |
| 92567 | <1% | 7,428 | $90K | |
| 95816 | <1% | 317 | $87K | |
| 95720 | <1% | 611 | $87K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 1,167 | $87K |
| 92060 | <1% | 1,548 | $87K | |
| 95782 | <1% | 673 | $69K | |
| 99245 | <1% | 341 | $60K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 695 | $54K |
| 95812 | <1% | 246 | $54K | |
| 99243 | <1% | 589 | $52K | |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 141 | $50K |
| 94060 | <1% | 1,184 | $46K | |
| 95819 | <1% | 113 | $38K | |
| 92582 | <1% | 637 | $38K | |
| 96112 | <1% | 340 | $37K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 170 | $35K |
| 92579 | <1% | 896 | $34K | |
| 99292 | <1% | 291 | $30K | |
| 17110 | <1% | 333 | $30K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,360 | $28K |
| 99217 | <1% | 499 | $28K | |
| 92504 | <1% | 1,153 | $23K | |
| 99254 | <1% | 168 | $21K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,703 | $19K |
| 95117 | <1% | 1,410 | $14K | |
| 99000 | <1% | 1,251 | $13K | |
| 92587 | <1% | 752 | $13K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 936 | $12K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 229 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 138 | $10K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,030 | $10K |
| 92557 | <1% | 284 | $8K | |
| 99219 | <1% | 67 | $6K | |
| 92583 | <1% | 162 | $6K | |
| 99417 | Prolong home eval add 15m | <1% | 304 | $6K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 44 | $5K |
| 17111 | <1% | 39 | $5K | |
| 31575 | <1% | 43 | $5K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 15 | $4K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 50 | $4K |
| 69210 | <1% | 95 | $3K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 38 | $3K |
| 99242 | <1% | 39 | $3K | |
| 99220 | <1% | 12 | $2K | |
| 92555 | <1% | 73 | $2K | |
| 92588 | <1% | 54 | $2K | |
| 87428 | <1% | 46 | $1K | |
| 42830 | <1% | 12 | $1K | |
| 92604 | <1% | 18 | $1K | |
| 92002 | <1% | 16 | $1K | |
| 81025 | <1% | 161 | $1K | |
| 99253 | <1% | 13 | $1K | |
| 31622 | <1% | 12 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 37 | $858.21 |
| 92552 | <1% | 26 | $753.92 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 53 | $657.94 |
| 81002 | <1% | 172 | $495.29 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 96 | $422.15 |
| 90686 | <1% | 1,006 | $339.09 | |
| 90480 | <1% | 31 | $312.40 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 24 | $305.80 |
| 95115 | <1% | 20 | $155.88 | |
| 3008F | <1% | 26,111 | $0.53 | |
| 1036F | <1% | 17,724 | $0.44 | |
| 3078F | <1% | 10,228 | $0.18 | |
| 3074F | <1% | 10,223 | $0.18 | |
| 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) | <1% | 68 | $0.11 |
| 1160F | <1% | 36,477 | $0.02 | |
| 1159F | 0% | 21,730 | $0.00 | |
| 90661 | 0% | 43 | $0.00 | |
| 90670 | 0% | 43 | $0.00 | |
| 3725F | 0% | 18 | $0.00 | |
| 90648 | 0% | 56 | $0.00 | |
| 90633 | 0% | 13 | $0.00 | |
| 99024 | 0% | 728 | $0.00 | |
| J3590 | Unclassified biologics | 0% | 701 | $0.00 |
| 90677 | 0% | 12 | $0.00 | |
| 1126F | 0% | 175 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 14 | $0.00 |
| 96127 | 0% | 13 | $0.00 | |
| 90723 | 0% | 13 | $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 officialCARSNER, CLAYTON (VP/COO)
| Provider | Location | Paid |
|---|---|---|
| Providence Health Alliance | Waco, TX | $4.79M |
| Seton Family of Doctors | Austin, TX | $4.00M |
| Dell Children's Medical Group | Round Rock, TX | $2.24M |
| Seton Family of Doctors | Kyle, TX | $1.93M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.