Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRIMARY CARE PEDIATRICS,PA

NPI: 1417006735 · PORT ARTHUR, TX 77642 · Pediatrics Physician · NPI assigned 01/09/2007

$2.49M
Total Medicaid Paid
95,982
Total Claims
72,641
Beneficiaries
57
Codes Billed
2018-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTOLEDO, MINDA (PRESIDENT)
NPI Enumeration Date01/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 52 $2K
2019 863 $32K
2020 8,698 $240K
2021 22,282 $575K
2022 22,403 $623K
2023 28,548 $725K
2024 13,136 $295K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,565 19,304 $966K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,309 2,911 $247K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,891 2,565 $230K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,489 2,063 $202K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,845 2,155 $168K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,752 5,105 $141K
90460 Immunization administration through 18 years of age via any route, first or only component 12,516 5,652 $124K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2,762 2,441 $108K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,290 5,798 $87K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,701 2,186 $65K
69210 1,379 1,171 $47K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 600 505 $28K
90461 3,225 2,597 $19K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 252 213 $13K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,603 1,511 $9K
87807 693 616 $7K
90651 324 304 $7K
92551 1,314 1,134 $3K
99238 Hospital discharge day management, 30 minutes or less 54 53 $3K
97169 192 185 $2K
90656 1,439 1,328 $2K
90619 221 202 $2K
99381 32 25 $2K
97803 870 830 $1K
90734 213 198 $1K
99383 13 13 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 16 16 $779.52
96160 921 789 $762.54
99232 Subsequent hospital care, per day, moderate complexity 16 12 $634.06
90715 104 102 $247.58
90696 89 77 $161.70
90716 193 170 $74.33
90633 849 786 $64.53
90744 209 185 $33.82
96127 4,198 3,229 $30.93
99401 390 367 $30.00
90700 414 373 $22.99
90660 55 48 $20.22
90671 71 60 $0.10
90677 69 59 $0.08
90713 64 55 $0.00
90670 1,486 1,366 $0.00
90707 169 152 $0.00
90648 796 729 $0.00
99173 1,136 1,033 $0.00
90710 170 157 $0.00
97170 17 17 $0.00
90681 231 210 $0.00
96161 407 334 $0.00
36415 Collection of venous blood by venipuncture 42 42 $0.00
90680 467 434 $0.00
90698 643 598 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 29 26 $0.00
90723 103 93 $0.00
90697 40 15 $0.00
90620 16 16 $0.00
97802 28 26 $0.00