Medicaid Provider Spending

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

ABC PEDIATRIC CLINIC, P.A.

NPI: 1417125642 · HOUSTON, TX 77049 · Pediatrics Physician · NPI assigned 02/11/2008

$12.62M
Total Medicaid Paid
457,085
Total Claims
412,542
Beneficiaries
84
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPAHLAVAN, SOGOL (CO-PARTNER/ OWNER)
NPI Enumeration Date02/11/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 735 $22K
2019 3,713 $45K
2020 37,308 $774K
2021 121,510 $2.82M
2022 110,015 $3.11M
2023 101,799 $3.09M
2024 82,005 $2.76M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 36,249 33,953 $2.11M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 19,218 18,397 $1.73M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,097 37,309 $1.66M
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 26,789 25,811 $1.32M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12,205 11,981 $1.16M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,471 9,321 $840K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7,660 7,534 $800K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 18,938 18,192 $633K
90460 Immunization administration through 18 years of age via any route, first or only component 44,994 21,819 $532K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,930 3,795 $336K
87634 4,463 4,261 $296K
99429 6,963 6,844 $252K
96110 Developmental screening, with scoring and documentation, per standardized instrument 25,278 20,592 $168K
H0049 Alcohol and/or drug screening 10,412 10,238 $105K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,630 4,541 $75K
99001 10,129 9,936 $74K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,520 2,229 $71K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,431 5,398 $71K
90461 8,394 6,994 $50K
0071A 824 818 $44K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 692 690 $41K
0072A 679 677 $37K
99000 2,730 2,640 $32K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,149 1,133 $31K
90472 Immunization administration, each additional vaccine (list separately) 1,800 1,081 $22K
0001A 465 462 $21K
92551 24,856 24,245 $19K
0002A 422 421 $19K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 788 750 $11K
83655 864 857 $10K
0054A 192 191 $10K
S8301 Infection control supplies, not otherwise specified 501 473 $9K
0073A 76 76 $4K
99072 5,915 5,532 $4K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 381 352 $4K
99381 43 41 $4K
90480 129 126 $3K
0124A 52 52 $2K
87807 195 195 $2K
81002 661 626 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 158 137 $2K
85018 1,874 1,841 $1K
0081A 30 29 $1K
99215 Prolong outpt/office vis 16 14 $1K
0154A 27 27 $1K
90474 75 74 $907.46
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 61 58 $844.54
69209 46 27 $430.69
96380 16 16 $351.28
94760 1,213 1,118 $159.38
36415 Collection of venous blood by venipuncture 454 446 $105.12
96160 12 12 $43.80
96161 86 65 $3.65
90619 758 753 $0.74
90686 13,291 13,110 $0.30
90621 475 474 $0.03
90651 1,900 1,885 $0.02
90734 875 873 $0.01
99177 25,875 25,500 $0.00
94664 1,650 1,595 $0.00
90710 839 835 $0.00
90648 2,256 2,218 $0.00
90670 2,732 2,720 $0.00
91300 1,165 1,065 $0.00
90715 515 512 $0.00
90633 1,248 1,235 $0.00
99173 166 165 $0.00
91308 99 90 $0.00
91312 52 52 $0.00
90700 124 124 $0.00
90685 13 13 $0.00
90680 1,717 1,675 $0.00
1031F 26,850 26,332 $0.00
90656 1,352 1,349 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 21,444 21,305 $0.00
91307 1,950 1,824 $0.00
90723 698 681 $0.00
90677 1,118 1,046 $0.00
90696 158 158 $0.00
91305 365 361 $0.00
91319 26 26 $0.00
90698 82 80 $0.00
36416 12 12 $0.00
91315 27 27 $0.00