Pediapex Heart Center for Children PA
Pediapex Heart Center for Children PA was paid $924K by Medicaid between Sep 2020 and May 2023, across 14 billing codes. Its largest line is 93303, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study — 46% of everything it billed.
33Billing provider infoPEDIAPEX HEART CENTER FOR CHILDREN PA
DALLAS, TX 75230
DALLAS, TX 75230
33aNPI1376752402assigned 05/22/2007
33bProvider typeSpecialist
28Total paid$924K
24GClaims23,769
24DCodes billed14
24AFirst – last monthSep 2020 – May 2023
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#43 of 382
Median peer was paid$29K
This provider vs. median32×
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 | 1,661 | $51K | |
| 2021 | 9,308 | $338K | |
| 2022 | 9,120 | $378K | |
| 2023 | 3,680 | $158K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 46% | 4,706 | 3,915 | $423K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 15% | 1,976 | 1,886 | $139K |
| 93320 | 12% | 4,727 | 3,921 | $108K | |
| 93325 | 5.2% | 4,922 | 4,090 | $48K | |
| 99205 | Prolong outpt/office vis | 4.8% | 453 | 438 | $45K |
| 93000 | 4.6% | 3,716 | 3,566 | $42K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.8% | 433 | 422 | $35K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.4% | 272 | 258 | $31K |
| 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 | 2.9% | 586 | 567 | $27K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.6% | 1,677 | 1,574 | $14K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 146 | 39 | $8K |
| 76825 | <1% | 13 | 13 | $2K |
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 officialKAO, JANE (PEDIATRIC CARDIOLOGIST)