Pristine Pediatrics & Family Medicine Clinic LLC
Pristine Pediatrics & Family Medicine Clinic LLC was paid $274K by Medicaid between Jul 2021 and Nov 2024, across 23 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 36% of everything it billed.
HOUSTON, TX 77070
Next to other Family Medicine Physician providers in Texas
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 597 | $15K | |
| 2022 | 2,367 | $63K | |
| 2023 | 4,096 | $107K | |
| 2024incomplete | 3,586 | $89K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 36% | 1,396 | 1,309 | $100K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 1,726 | 1,525 | $58K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 574 | 546 | $42K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.4% | 2,086 | 1,259 | $26K |
| 99381 | 4.9% | 205 | 196 | $13K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.8% | 1,405 | 1,350 | $10K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 2.7% | 35 | 28 | $7K |
| 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 | 1.8% | 101 | 93 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 172 | 171 | $4K |
| 99241 | 1.0% | 77 | 77 | $3K | |
| 86409 | <1% | 32 | 24 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 226 | 211 | $2K |
11 more codes
| 90677 | <1% | 426 | $400.01 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 32 | $288.96 |
| 90461 | <1% | 131 | $33.19 | |
| 90680 | 0% | 532 | $0.00 | |
| 90647 | 0% | 225 | $0.00 | |
| 90698 | 0% | 115 | $0.00 | |
| 90723 | 0% | 280 | $0.00 | |
| 90633 | 0% | 174 | $0.00 | |
| 90670 | 0% | 504 | $0.00 | |
| 90648 | 0% | 177 | $0.00 | |
| 90700 | 0% | 15 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Pristine Ob-Gyn Care PLLC | Houston, TX | $3.03M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.