Physician
Primary Care Pediatrics,pa
Primary Care Pediatrics,pa was paid $2.49M by Medicaid between Jul 2018 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoPRIMARY CARE PEDIATRICS,PA
PORT ARTHUR, TX 77642
PORT ARTHUR, TX 77642
33aNPI1417006735assigned 01/09/2007
33bProvider typePediatrics Physician
28Total paid$2.49M
24GClaims95,982
24DCodes billed57
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#191 of 1,136
Median peer was paid$329K
This provider vs. median7.6×
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 | |
|---|---|---|---|
| 2018 | 52 | $2K | |
| 2019 | 863 | $32K | |
| 2020 | 8,698 | $240K | |
| 2021 | 22,282 | $575K | |
| 2022 | 22,403 | $623K | |
| 2023 | 28,548 | $725K | |
| 2024incomplete | 13,136 | $295K |
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 | 39% | 26,565 | 19,304 | $966K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.9% | 3,309 | 2,911 | $247K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.2% | 2,891 | 2,565 | $230K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.1% | 2,489 | 2,063 | $202K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.8% | 2,845 | 2,155 | $168K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.7% | 5,752 | 5,105 | $141K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.0% | 12,516 | 5,652 | $124K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 4.3% | 2,762 | 2,441 | $108K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.5% | 6,290 | 5,798 | $87K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.6% | 4,701 | 2,186 | $65K |
| 69210 | 1.9% | 1,379 | 1,171 | $47K | |
| 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 | 1.1% | 600 | 505 | $28K |
45 more codes
| 90461 | <1% | 3,225 | $19K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 252 | $13K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,603 | $9K |
| 87807 | <1% | 693 | $7K | |
| 90651 | <1% | 324 | $7K | |
| 92551 | <1% | 1,314 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 54 | $3K |
| 97169 | <1% | 192 | $2K | |
| 90656 | <1% | 1,439 | $2K | |
| 90619 | <1% | 221 | $2K | |
| 99381 | <1% | 32 | $2K | |
| 97803 | <1% | 870 | $1K | |
| 90734 | <1% | 213 | $1K | |
| 99383 | <1% | 13 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $779.52 |
| 96160 | <1% | 921 | $762.54 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 16 | $634.06 |
| 90715 | <1% | 104 | $247.58 | |
| 90696 | <1% | 89 | $161.70 | |
| 90716 | <1% | 193 | $74.33 | |
| 90633 | <1% | 849 | $64.53 | |
| 90744 | <1% | 209 | $33.82 | |
| 96127 | <1% | 4,198 | $30.93 | |
| 99401 | <1% | 390 | $30.00 | |
| 90700 | <1% | 414 | $22.99 | |
| 90660 | <1% | 55 | $20.22 | |
| 90671 | <1% | 71 | $0.10 | |
| 90677 | <1% | 69 | $0.08 | |
| 90713 | 0% | 64 | $0.00 | |
| 90670 | 0% | 1,486 | $0.00 | |
| 90707 | 0% | 169 | $0.00 | |
| 90648 | 0% | 796 | $0.00 | |
| 99173 | 0% | 1,136 | $0.00 | |
| 90710 | 0% | 170 | $0.00 | |
| 97170 | 0% | 17 | $0.00 | |
| 90681 | 0% | 231 | $0.00 | |
| 96161 | 0% | 407 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 42 | $0.00 |
| 90680 | 0% | 467 | $0.00 | |
| 90698 | 0% | 643 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 29 | $0.00 |
| 90723 | 0% | 103 | $0.00 | |
| 90697 | 0% | 40 | $0.00 | |
| 90620 | 0% | 16 | $0.00 | |
| 97802 | 0% | 28 | $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 officialTOLEDO, MINDA (PRESIDENT)