Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Stone Oak South Texas Center for Pediatric Care

Stone Oak South Texas Center for Pediatric Care was paid $478K by Medicaid between Mar 2018 and Jun 2022, across 31 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 22% of everything it billed.

33Billing provider infoSTONE OAK SOUTH TEXAS CENTER FOR PEDIATRIC CARE
SAN ANTONIO, TX 78202
33aNPI1396797874assigned 05/16/2006
33bProvider typePediatrics Physician
28Total paid$478K
24GClaims27,538
24DCodes billed31
24AFirst – last monthMar 2018 – Jun 2022
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#516 of 1,136
Median peer was paid$329K
This provider vs. median1.5×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2018180$2K
20193,498$76K
20203,374$41K
202115,126$251K
20225,360$108K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 22% 1,215 1,209 $103K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 20% 1,174 1,168 $96K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 19% 1,002 983 $89K
90460 Immunization administration through 18 years of age via any route, first or only component 14% 8,578 3,668 $69K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13% 801 777 $62K
90461 4.3% 1,868 1,585 $20K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.5% 1,411 1,088 $12K
99429 2.2% 318 314 $11K
99050 <1% 39 39 $4K
0071A <1% 68 67 $3K
92551 <1% 3,511 3,458 $2K
0072A <1% 50 50 $2K
19 more codes
96160 <1% 712 $2K
99381 <1% 15 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 24 $554.23
90648 <1% 563 $55.67
99173 <1% 3,469 $40.80
90723 <1% 312 $7.00
90670 <1% 572 $0.03
90686 <1% 1,194 $0.01
90716 0% 70 $0.00
90651 0% 87 $0.00
0001A 0% 14 $0.00
91307 0% 141 $0.00
90696 0% 13 $0.00
90734 0% 97 $0.00
90707 0% 82 $0.00
90681 0% 68 $0.00
90633 0% 38 $0.00
91300 0% 14 $0.00
90715 0% 18 $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 officialDALUZ, LISA (CREDENTIALING MANAGER)
Same official

Other billing entities under DALUZ, LISA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.