Pediatric Heart Clinic of Mcallen

Pediatric Heart Clinic of Mcallen was paid $13.30M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 93304, — 26% of everything it billed.

33Billing provider infoPEDIATRIC HEART CLINIC OF MCALLEN
EDINBURG, TX 78539

33aNPI1427295948assigned 01/21/2009

33bProvider typePediatric Cardiology Physician

28Total paid$13.30M

24GClaims272,277

24DCodes billed30

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Cardiology Physician providers in Texas

Rank by total paid#1 of 34

Median peer was paid$130K

This provider vs. median102×

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	2,805	$141K
2019	3,310	$171K
2020	14,859	$668K
2021	61,441	$2.94M
2022	62,585	$3.09M
2023	65,348	$3.17M
2024incomplete	61,929	$3.12M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93304		26%	30,009	28,273	$3.50M
93303	Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study	22%	20,593	19,252	$2.95M
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	16%	42,765	40,460	$2.18M
99244	Office or other outpatient consultation, moderate to high complexity	10%	11,509	11,180	$1.38M
93325		6.4%	52,372	48,032	$854K
93320		4.8%	16,662	16,100	$639K
93000		4.6%	53,007	51,004	$615K
93321		4.5%	33,969	31,491	$599K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.2%	1,993	1,938	$158K
93241		<1%	572	561	$114K
99223	Prolong inpt eval add15 m	<1%	517	499	$62K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	660	649	$37K

18 more codes

99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	843	$37K
93015		<1%	618	$35K
93225		<1%	2,182	$34K
93227		<1%	2,043	$31K
99213	Doctor's office visit, returning patient (routine)	<1%	701	$26K
76825		<1%	164	$25K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	292	$7K
76827		<1%	165	$7K
76826		<1%	44	$5K
99254		<1%	53	$4K
99243		<1%	17	$2K
76828		<1%	44	$2K
99242		<1%	21	$1K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	291	$1K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	127	$667.26
93228		<1%	17	$336.80
93244		<1%	12	$319.37
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	15	$126.88

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 officialALHROOB, ASSAD (OWNER)