SOUTHEAST SOUTH TEXAS CENTER FOR PEDIATRIC CARE
NPI: 1386712628
· SAN ANTONIO, TX 78222
· Pediatrics Physician
$1.03M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
3,127 |
$108K |
| 2021 |
17,378 |
$659K |
| 2022 |
7,125 |
$262K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
15,147 |
13,903 |
$541K |
| 99214 |
|
7,731 |
7,178 |
$387K |
| Q3014 |
Telehealth originating site facility fee |
3,734 |
3,522 |
$78K |
| 99050 |
|
125 |
124 |
$6K |
| 95165 |
|
56 |
12 |
$6K |
| 87635 |
|
62 |
58 |
$3K |
| 97169 |
|
49 |
48 |
$1K |
| 94726 |
|
125 |
121 |
$1K |
| 99203 |
|
19 |
19 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$980.88 |
| CP002 |
|
100 |
91 |
$975.10 |
| 94729 |
|
125 |
121 |
$844.87 |
| 90460 |
|
89 |
67 |
$647.87 |
| 99212 |
|
20 |
19 |
$445.37 |
| 94200 |
|
126 |
120 |
$428.93 |
| 92551 |
|
55 |
54 |
$239.60 |
| 87880 |
|
13 |
13 |
$177.80 |
| 99173 |
|
42 |
41 |
$89.76 |