Clinic
Geronimo Village Pediatrics, PLLC
Geronimo Village Pediatrics, PLLC was paid $51K by Medicaid between Oct 2020 and Nov 2022, across 16 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 36% of everything it billed.
33Billing provider infoGERONIMO VILLAGE PEDIATRICS, PLLC
SEGUIN, TX 78155
SEGUIN, TX 78155
33aNPI1356800791assigned 03/15/2019
33bProvider typePrimary Care Clinic/Center
28Total paid$51K
24GClaims3,919
24DCodes billed16
24AFirst – last monthOct 2020 – Nov 2022
Compared with peers
Next to other Primary Care Clinic/Center providers in Texas
Rank by total paid#74 of 180
Median peer was paid$25K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2020 | 716 | $7K | |
| 2021 | 2,759 | $38K | |
| 2022 | 444 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 36% | 325 | 281 | $18K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 505 | 454 | $16K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16% | 1,102 | 475 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 39 | 38 | $3K |
| 90461 | 4.7% | 602 | 185 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 16 | 15 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 156 | 96 | $856.27 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 30 | 27 | $580.56 |
| 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 | 1.1% | 13 | 13 | $551.98 |
| 99000 | <1% | 43 | 38 | $299.77 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 19 | 13 | $89.36 |
| 90686 | <1% | 178 | 173 | $0.01 |
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 officialKOENIG, JODI (OWNER)