Physician
Brazosport Pediatric Clinic, P.A.
Brazosport Pediatric Clinic, P.A. was paid $190.38 by Medicaid between Oct 2019 and Oct 2019, across 1 billing code. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 100% of everything it billed.
33Billing provider infoBRAZOSPORT PEDIATRIC CLINIC, P.A.
LAKE JACKSON, TX 77566
LAKE JACKSON, TX 77566
33aNPI1407860737assigned 07/29/2006
33bProvider typePediatrics Physician
28Total paid$190.38
24GClaims22
24DCodes billed1
24AFirst – last monthOct 2019 – Oct 2019
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#1,114 of 1,136
Median peer was paid$329K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 22 | $190.38 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 100% | 22 | 16 | $190.38 |
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 officialHARDOIN, RICHARD (PRESIDENT)