Behavioral
ST. Paul Children's Medical Corporation
ST. Paul Children's Medical Corporation was paid $1.55M by Medicaid between Oct 2018 and Dec 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.
33Billing provider infoST. PAUL CHILDREN'S MEDICAL CORPORATION
TYLER, TX 75702
TYLER, TX 75702
33aNPI1336376391assigned 06/17/2009
33bProvider typeMental Health Counselor
28Total paid$1.55M
24GClaims73,057
24DCodes billed51
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in Texas
Rank by total paid#29 of 311
Median peer was paid$71K
This provider vs. median22×
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 | 93 | $1K | |
| 2020 | 2,780 | $40K | |
| 2021 | 20,280 | $381K | |
| 2022 | 21,057 | $444K | |
| 2023 | 16,848 | $407K | |
| 2024incomplete | 11,999 | $275K |
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 | 18% | 9,168 | 7,890 | $282K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 3,043 | 2,920 | $229K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 2,246 | 2,127 | $178K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 2,334 | 2,159 | $161K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.9% | 16,321 | 7,193 | $154K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.9% | 1,658 | 1,518 | $138K |
| 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 | 8.5% | 2,869 | 2,548 | $132K |
| 99429 | 5.6% | 3,202 | 2,911 | $87K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.3% | 937 | 879 | $35K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.2% | 4,349 | 1,083 | $34K |
| 90461 | 1.9% | 9,134 | 2,352 | $29K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 2,725 | 1,935 | $21K |
39 more codes
| 90837 | Psychotherapy session, about an hour | 1.0% | 242 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,035 | $13K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,030 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 527 | $6K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 52 | $5K |
| 99381 | <1% | 74 | $5K | |
| 99460 | <1% | 77 | $4K | |
| 96160 | <1% | 1,634 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 40 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 42 | $2K |
| 87807 | <1% | 80 | $847.00 | |
| 80061 | Lipid panel | <1% | 66 | $573.75 |
| 90686 | <1% | 2,914 | $469.38 | |
| 69210 | <1% | 13 | $466.57 | |
| 0071A | <1% | 13 | $360.00 | |
| 90651 | <1% | 310 | $269.75 | |
| 90670 | <1% | 1,778 | $227.66 | |
| 82947 | <1% | 66 | $178.20 | |
| 90715 | <1% | 110 | $131.54 | |
| 86580 | <1% | 16 | $77.52 | |
| 96161 | <1% | 129 | $42.86 | |
| 90677 | <1% | 230 | $0.57 | |
| 90697 | <1% | 161 | $0.45 | |
| 91307 | <1% | 16 | $0.05 | |
| 90734 | <1% | 256 | $0.01 | |
| 90707 | 0% | 100 | $0.00 | |
| 90633 | 0% | 725 | $0.00 | |
| 90648 | 0% | 325 | $0.00 | |
| 90710 | 0% | 32 | $0.00 | |
| 3078F | 0% | 13 | $0.00 | |
| 90656 | 0% | 268 | $0.00 | |
| 90723 | 0% | 258 | $0.00 | |
| 90680 | 0% | 585 | $0.00 | |
| 90698 | 0% | 660 | $0.00 | |
| 90716 | 0% | 97 | $0.00 | |
| 3074F | 0% | 14 | $0.00 | |
| 90696 | 0% | 27 | $0.00 | |
| 90744 | 0% | 39 | $0.00 | |
| 90688 | 0% | 17 | $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 officialCOHEN, CHELSEA (CHIEF OPERATIONS OFFICER)
| Provider | Location | Paid |
|---|---|---|
| ST Paul Children's Medical Corporation | Tyler, TX | $1.35M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.