Physician
Pediatrix Emergent and Critical Care Services, L.L.C.
Pediatrix Emergent and Critical Care Services, L.L.C. was paid $3.02M by Medicaid between Jan 2018 and Sep 2024, across 18 billing codes. Its largest line is 99283, emergency room visit (moderate) — 31% of everything it billed.
33Billing provider infoPEDIATRIX EMERGENT AND CRITICAL CARE SERVICES, L.L.C.
RICHARDSON, TX 75082
RICHARDSON, TX 75082
33aNPI1326278375assigned 07/23/2009
33bProvider typePediatrics Physician
28Total paid$3.02M
24GClaims60,295
24DCodes billed18
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#156 of 1,136
Median peer was paid$329K
This provider vs. median9.2×
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 | 23,425 | $1.21M | |
| 2019 | 15,310 | $776K | |
| 2020 | 3,440 | $171K | |
| 2021 | 3,861 | $200K | |
| 2022 | 4,219 | $203K | |
| 2023 | 6,475 | $287K | |
| 2024incomplete | 3,565 | $173K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 31% | 21,287 | 20,705 | $933K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 15% | 5,534 | 5,351 | $465K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 7,939 | 3,290 | $368K |
| 99238 | Hospital discharge day management, 30 minutes or less | 12% | 7,829 | 6,980 | $358K |
| 99222 | Initial hospital care, per day, moderate complexity | 7.9% | 3,090 | 2,635 | $239K |
| 99219 | 5.9% | 2,238 | 2,147 | $179K | |
| 99460 | 4.4% | 3,142 | 2,963 | $133K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.5% | 492 | 238 | $74K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 2.2% | 2,436 | 2,373 | $67K |
| 99462 | 1.4% | 1,817 | 1,293 | $42K | |
| 99224 | 1.1% | 1,954 | 1,859 | $32K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.0% | 557 | 447 | $30K |
6 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,134 | $26K |
| 99285 | Emergency room visit (most serious) | <1% | 166 | $22K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 56 | $18K |
| 99225 | <1% | 578 | $16K | |
| 99471 | <1% | 20 | $10K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 26 | $3K |
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 officialLACAZE, TONY (AUTHORIZED SIGNATORY)