Physician
Abc Pediatric Clinic, P.A.
Abc Pediatric Clinic, P.A. was paid $12.62M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 17% of everything it billed.
33Billing provider infoABC PEDIATRIC CLINIC, P.A.
HOUSTON, TX 77049
HOUSTON, TX 77049
33aNPI1417125642assigned 02/11/2008
33bProvider typePediatrics Physician
28Total paid$12.62M
24GClaims457,085
24DCodes billed84
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#17 of 1,136
Median peer was paid$329K
This provider vs. median38×
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 | 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 | |
| 2024incomplete | 82,005 | $2.76M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 17% | 36,249 | 33,953 | $2.11M |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 14% | 19,218 | 18,397 | $1.73M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 40,097 | 37,309 | $1.66M |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 10% | 26,789 | 25,811 | $1.32M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.2% | 12,205 | 11,981 | $1.16M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.7% | 9,471 | 9,321 | $840K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.3% | 7,660 | 7,534 | $800K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 5.0% | 18,938 | 18,192 | $633K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.2% | 44,994 | 21,819 | $532K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 3,930 | 3,795 | $336K |
| 87634 | 2.3% | 4,463 | 4,261 | $296K | |
| 99429 | 2.0% | 6,963 | 6,844 | $252K |
72 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 25,278 | $168K |
| H0049 | Alcohol and/or drug screening | <1% | 10,412 | $105K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,630 | $75K |
| 99001 | <1% | 10,129 | $74K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,520 | $71K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,431 | $71K |
| 90461 | <1% | 8,394 | $50K | |
| 0071A | <1% | 824 | $44K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 692 | $41K |
| 0072A | <1% | 679 | $37K | |
| 99000 | <1% | 2,730 | $32K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,149 | $31K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,800 | $22K |
| 0001A | <1% | 465 | $21K | |
| 92551 | <1% | 24,856 | $19K | |
| 0002A | <1% | 422 | $19K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 788 | $11K |
| 83655 | <1% | 864 | $10K | |
| 0054A | <1% | 192 | $10K | |
| S8301 | Infection control supplies, not otherwise specified | <1% | 501 | $9K |
| 0073A | <1% | 76 | $4K | |
| 99072 | <1% | 5,915 | $4K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 381 | $4K |
| 99381 | <1% | 43 | $4K | |
| 90480 | <1% | 129 | $3K | |
| 0124A | <1% | 52 | $2K | |
| 87807 | <1% | 195 | $2K | |
| 81002 | <1% | 661 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 158 | $2K |
| 85018 | <1% | 1,874 | $1K | |
| 0081A | <1% | 30 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 16 | $1K |
| 0154A | <1% | 27 | $1K | |
| 90474 | <1% | 75 | $907.46 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 61 | $844.54 |
| 69209 | <1% | 46 | $430.69 | |
| 96380 | <1% | 16 | $351.28 | |
| 94760 | <1% | 1,213 | $159.38 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 454 | $105.12 |
| 96160 | <1% | 12 | $43.80 | |
| 96161 | <1% | 86 | $3.65 | |
| 90619 | <1% | 758 | $0.74 | |
| 90686 | <1% | 13,291 | $0.30 | |
| 90621 | <1% | 475 | $0.03 | |
| 90651 | <1% | 1,900 | $0.02 | |
| 90734 | <1% | 875 | $0.01 | |
| 99177 | 0% | 25,875 | $0.00 | |
| 94664 | 0% | 1,650 | $0.00 | |
| 90710 | 0% | 839 | $0.00 | |
| 90648 | 0% | 2,256 | $0.00 | |
| 90670 | 0% | 2,732 | $0.00 | |
| 91300 | 0% | 1,165 | $0.00 | |
| 90715 | 0% | 515 | $0.00 | |
| 90633 | 0% | 1,248 | $0.00 | |
| 99173 | 0% | 166 | $0.00 | |
| 91308 | 0% | 99 | $0.00 | |
| 91312 | 0% | 52 | $0.00 | |
| 90700 | 0% | 124 | $0.00 | |
| 90685 | 0% | 13 | $0.00 | |
| 90680 | 0% | 1,717 | $0.00 | |
| 1031F | 0% | 26,850 | $0.00 | |
| 90656 | 0% | 1,352 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 21,444 | $0.00 |
| 91307 | 0% | 1,950 | $0.00 | |
| 90723 | 0% | 698 | $0.00 | |
| 90677 | 0% | 1,118 | $0.00 | |
| 90696 | 0% | 158 | $0.00 | |
| 91305 | 0% | 365 | $0.00 | |
| 91319 | 0% | 26 | $0.00 | |
| 90698 | 0% | 82 | $0.00 | |
| 36416 | 0% | 12 | $0.00 | |
| 91315 | 0% | 27 | $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 officialPAHLAVAN, SOGOL (CO-PARTNER/ OWNER)