Physician
Southeast South Texas Center for Pediatric Care
Southeast South Texas Center for Pediatric Care was paid $1.03M by Medicaid between Mar 2020 and Jun 2022, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoSOUTHEAST SOUTH TEXAS CENTER FOR PEDIATRIC CARE
SAN ANTONIO, TX 78222
SAN ANTONIO, TX 78222
33aNPI1386712628assigned 12/04/2006
33bProvider typePediatrics Physician
28Total paid$1.03M
24GClaims27,630
24DCodes billed18
24AFirst – last monthMar 2020 – Jun 2022
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#368 of 1,136
Median peer was paid$329K
This provider vs. median3.1×
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 | 3,127 | $108K | |
| 2021 | 17,378 | $659K | |
| 2022 | 7,125 | $262K |
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 | 53% | 15,147 | 13,903 | $541K |
| 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 | 38% | 7,731 | 7,178 | $387K |
| Q3014 | Telehealth originating site facility fee | 7.5% | 3,734 | 3,522 | $78K |
| 99050 | <1% | 125 | 124 | $6K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 56 | 12 | $6K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 62 | 58 | $3K |
| 97169 | <1% | 49 | 48 | $1K | |
| 94726 | <1% | 125 | 121 | $1K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 19 | 19 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 12 | 12 | $980.88 |
| CP002 | <1% | 100 | 91 | $975.10 | |
| 94729 | <1% | 125 | 121 | $844.87 |
6 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 89 | $647.87 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 20 | $445.37 |
| 94200 | <1% | 126 | $428.93 | |
| 92551 | <1% | 55 | $239.60 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $177.80 |
| 99173 | <1% | 42 | $89.76 |
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 officialDALUZ, LISA (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Southeast South Texas Center for Pediatric Care | San Antonio, TX | $1.27M |
| Stone Oak South Texas Center for Pediatric Care | San Antonio, TX | $533K |
| Stone Oak South Texas Center for Pediatric Care | San Antonio, TX | $478K |
| Medical Center South Texas Center for Pediatric Care | San Antonio, TX | $454K |
| Southwest South Texas Center for Pediatric Care | San Antonio, TX | $356K |
| Medical Center South Texas Center for Pediatric Care | San Antonio, TX | $350K |
| Southwest South Texas Center for Pediatric Care | San Antonio, TX | $326K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.