Physician
Metroplex Pediatrics
Metroplex Pediatrics was paid $2.25M by Medicaid between Dec 2018 and Oct 2024, across 53 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 22% of everything it billed.
33Billing provider infoMETROPLEX PEDIATRICS
NORTH RICHLAND HILLS, TX 76182
NORTH RICHLAND HILLS, TX 76182
33aNPI1366639742assigned 09/28/2007
33bProvider typePediatrics Physician
28Total paid$2.25M
24GClaims99,776
24DCodes billed53
24AFirst – last monthDec 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#218 of 1,136
Median peer was paid$329K
This provider vs. median6.9×
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 | 13 | $442.68 | |
| 2019 | 15 | $553.35 | |
| 2020 | 5,887 | $120K | |
| 2021 | 31,982 | $660K | |
| 2022 | 26,925 | $604K | |
| 2023 | 20,758 | $506K | |
| 2024incomplete | 14,196 | $363K |
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) | 22% | 6,454 | 6,349 | $488K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 8,329 | 7,835 | $303K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 4,235 | 3,817 | $302K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 3,649 | 3,629 | $298K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 24,467 | 9,962 | $239K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.6% | 1,411 | 1,406 | $126K |
| 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 | 5.4% | 2,439 | 2,343 | $123K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.3% | 4,028 | 3,976 | $98K |
| 99429 | 3.6% | 2,405 | 2,369 | $81K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.6% | 7,145 | 5,205 | $58K |
| 90461 | 1.6% | 7,588 | 6,058 | $37K | |
| 99381 | <1% | 204 | 200 | $17K |
41 more codes
| 99383 | <1% | 151 | $13K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,400 | $12K |
| 99460 | <1% | 158 | $9K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 190 | $8K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 170 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 557 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 510 | $7K |
| 90671 | <1% | 980 | $6K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 164 | $4K |
| 90619 | <1% | 290 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 177 | $2K |
| 54150 | <1% | 32 | $2K | |
| 96160 | <1% | 673 | $1K | |
| 99382 | <1% | 12 | $994.97 | |
| 99462 | <1% | 12 | $421.56 | |
| 81002 | <1% | 91 | $254.04 | |
| 0071A | <1% | 46 | $40.29 | |
| 90733 | <1% | 258 | $32.55 | |
| 90710 | 0% | 1,381 | $0.00 | |
| 90648 | 0% | 2,585 | $0.00 | |
| 90621 | 0% | 156 | $0.00 | |
| 90633 | 0% | 2,223 | $0.00 | |
| 90672 | 0% | 171 | $0.00 | |
| 90670 | 0% | 2,715 | $0.00 | |
| 90700 | 0% | 1,056 | $0.00 | |
| 90707 | 0% | 634 | $0.00 | |
| 90715 | 0% | 186 | $0.00 | |
| 90713 | 0% | 74 | $0.00 | |
| 90723 | 0% | 1,687 | $0.00 | |
| 90716 | 0% | 646 | $0.00 | |
| 90680 | 0% | 2,346 | $0.00 | |
| 90744 | 0% | 66 | $0.00 | |
| 90651 | 0% | 943 | $0.00 | |
| 90696 | 0% | 847 | $0.00 | |
| 90698 | 0% | 732 | $0.00 | |
| 90686 | 0% | 2,261 | $0.00 | |
| 91307 | 0% | 67 | $0.00 | |
| 90697 | 0% | 382 | $0.00 | |
| 90660 | 0% | 68 | $0.00 | |
| 96161 | 0% | 91 | $0.00 | |
| 90656 | 0% | 234 | $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 officialDOSU, ABIMBOLA (OFFICE MGR)