Physician
Christus Pediatric Physician Group
Christus Pediatric Physician Group was paid $1.01M by Medicaid between Apr 2019 and Sep 2022, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoCHRISTUS PEDIATRIC PHYSICIAN GROUP
SAN ANTONIO, TX 78216
SAN ANTONIO, TX 78216
33aNPI1346652575assigned 05/22/2014
33bProvider typeObstetrics Physician
28Total paid$1.01M
24GClaims39,306
24DCodes billed41
24AFirst – last monthApr 2019 – Sep 2022
Compared with peers
Next to other Obstetrics Physician providers in Texas
Rank by total paid#4 of 33
Median peer was paid$106K
This provider vs. median9.6×
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 | 158 | $738.24 | |
| 2020 | 5,808 | $82K | |
| 2021 | 21,991 | $547K | |
| 2022 | 11,349 | $383K |
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 | 50% | 12,015 | 10,170 | $505K |
| 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 | 22% | 3,583 | 3,182 | $222K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.2% | 539 | 535 | $42K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 373 | 348 | $27K |
| 81002 | 2.3% | 8,522 | 6,523 | $23K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 258 | 250 | $20K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.9% | 2,509 | 1,116 | $19K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 1.7% | 30 | 30 | $18K |
| 99000 | 1.7% | 1,627 | 1,517 | $17K | |
| 81025 | 1.4% | 2,223 | 2,130 | $14K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 124 | 123 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 1,549 | 1,353 | $11K |
29 more codes
| 87428 | <1% | 148 | $9K | |
| 92551 | <1% | 938 | $9K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 317 | $8K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 135 | $8K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 73 | $7K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 65 | $6K |
| 59430 | <1% | 68 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 303 | $6K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 127 | $5K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 49 | $4K |
| 90461 | <1% | 335 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 266 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 199 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 194 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 108 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $1K |
| 99385 | <1% | 12 | $836.93 | |
| 90715 | <1% | 19 | $602.11 | |
| 99173 | <1% | 1,152 | $465.00 | |
| 59025 | Fetal non-stress test | <1% | 16 | $433.61 |
| 99201 | <1% | 13 | $320.54 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 81 | $251.76 |
| 96160 | <1% | 74 | $200.66 | |
| 96161 | <1% | 43 | $2.53 | |
| 90686 | 0% | 406 | $0.00 | |
| 96127 | 0% | 611 | $0.00 | |
| 90688 | 0% | 140 | $0.00 | |
| 90633 | 0% | 13 | $0.00 | |
| 90670 | 0% | 36 | $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 officialKOTAL, CLINTON (EXECUTIVE DIRECTOR)