Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Mcpherson Pediatric Center

Mcpherson Pediatric Center was paid $843K by Medicaid between Feb 2018 and Jan 2023, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoMCPHERSON PEDIATRIC CENTER
LAREDO, TX 78041
33aNPI1427241009assigned 08/27/2007
33bProvider typePediatrics Physician
28Total paid$843K
24GClaims37,341
24DCodes billed35
24AFirst – last monthFeb 2018 – Jan 2023
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#405 of 1,136
Median peer was paid$329K
This provider vs. median2.6×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201828$274.40
201933$243.04
20205,225$65K
202117,374$387K
202214,588$388K
202393$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37% 9,001 7,796 $309K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 18% 1,917 1,775 $153K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 16% 1,821 1,694 $134K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10% 1,345 1,221 $87K
90460 Immunization administration through 18 years of age via any route, first or only component 7.1% 9,697 3,612 $60K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.1% 573 519 $35K
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 3.0% 535 509 $26K
90461 1.7% 2,739 1,990 $15K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 1,058 843 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 337 324 $4K
96161 <1% 1,929 1,788 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 41 38 $3K
23 more codes
90620 <1% 398 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 118 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 54 $1K
99381 <1% 12 $1K
90651 <1% 728 $1K
99050 <1% 33 $478.08
86580 <1% 70 $475.33
90734 <1% 736 $439.19
CP002 <1% 28 $274.40
90670 0% 894 $0.00
90633 0% 456 $0.00
99051 0% 12 $0.00
90715 0% 263 $0.00
90700 0% 88 $0.00
90710 0% 132 $0.00
90707 0% 57 $0.00
99173 0% 29 $0.00
90647 0% 807 $0.00
90686 0% 507 $0.00
90680 0% 175 $0.00
90723 0% 583 $0.00
90696 0% 113 $0.00
90716 0% 55 $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 officialROMO, LORI (OFFICE MANAGER)