Clinic
Forever Kids Pediatric Clinic
Forever Kids Pediatric Clinic was paid $1.52M by Medicaid between Nov 2019 and Dec 2024, across 52 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoFOREVER KIDS PEDIATRIC CLINIC
CANTON, TX 75103
CANTON, TX 75103
33aNPI1326435199assigned 04/20/2015
33bProvider typePrimary Care Clinic/Center
28Total paid$1.52M
24GClaims66,644
24DCodes billed52
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Texas
Rank by total paid#13 of 180
Median peer was paid$25K
This provider vs. median60×
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 | |
|---|---|---|---|
| 2019 | 14 | $205.24 | |
| 2020 | 2,511 | $47K | |
| 2021 | 14,750 | $301K | |
| 2022 | 17,168 | $384K | |
| 2023 | 18,256 | $432K | |
| 2024incomplete | 13,945 | $355K |
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 | 28% | 12,924 | 11,323 | $433K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 3,272 | 3,227 | $242K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 2,659 | 2,509 | $192K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.3% | 1,760 | 1,743 | $141K |
| 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 | 8.4% | 2,737 | 2,566 | $128K |
| 99429 | 5.2% | 2,626 | 2,592 | $79K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.5% | 5,163 | 5,067 | $54K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.3% | 5,685 | 3,751 | $50K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.7% | 3,065 | 2,919 | $41K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.3% | 1,461 | 1,382 | $35K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 391 | 388 | $34K |
| 99381 | 1.5% | 323 | 316 | $23K |
40 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.0% | 290 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 608 | $14K |
| 90474 | <1% | 1,439 | $12K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 345 | $12K |
| 87807 | <1% | 447 | $5K | |
| 99383 | <1% | 52 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,381 | $2K |
| 99382 | <1% | 13 | $1K | |
| 99000 | <1% | 45 | $447.30 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 29 | $380.88 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 18 | $233.75 |
| 96160 | <1% | 139 | $221.49 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $205.24 |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | <1% | 334 | $151.80 |
| 86580 | <1% | 13 | $83.98 | |
| 81002 | <1% | 14 | $40.88 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 27 | $2.81 |
| 90700 | 0% | 426 | $0.00 | |
| 90633 | 0% | 1,229 | $0.00 | |
| 90670 | 0% | 1,606 | $0.00 | |
| 90685 | 0% | 111 | $0.00 | |
| 90707 | 0% | 1,086 | $0.00 | |
| 99173 | 0% | 2,701 | $0.00 | |
| 90658 | 0% | 212 | $0.00 | |
| 90734 | 0% | 51 | $0.00 | |
| 90461 | 0% | 18 | $0.00 | |
| 90710 | 0% | 16 | $0.00 | |
| 90715 | 0% | 26 | $0.00 | |
| 90649 | 0% | 13 | $0.00 | |
| 90716 | 0% | 1,074 | $0.00 | |
| 90744 | 0% | 422 | $0.00 | |
| 90680 | 0% | 1,418 | $0.00 | |
| V5008 | Hearing screening | 0% | 2,670 | $0.00 |
| 90698 | 0% | 867 | $0.00 | |
| 90677 | 0% | 539 | $0.00 | |
| 90686 | 0% | 653 | $0.00 | |
| 90696 | 0% | 245 | $0.00 | |
| 90697 | 0% | 508 | $0.00 | |
| 90647 | 0% | 415 | $0.00 | |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | 0% | 64 | $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 officialBURKES, LACY (PEDIATRIC NURSE PRACTITIONER)