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

New Horizon Pediatrics, P.A.

New Horizon Pediatrics, P.A. was paid $655K by Medicaid between Sep 2020 and Mar 2023, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoNEW HORIZON PEDIATRICS, P.A.
EL PASO, TX 79936
33aNPI1437271954assigned 04/04/2007
33bProvider typePediatrics Physician
28Total paid$655K
24GClaims20,812
24DCodes billed36
24AFirst – last monthSep 2020 – Mar 2023
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#449 of 1,136
Median peer was paid$329K
This provider vs. median2.0×

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
2020905$24K
20219,084$289K
20229,132$285K
20231,691$58K
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 35% 6,370 5,660 $231K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 15% 1,125 1,117 $100K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14% 1,109 1,091 $92K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.6% 639 621 $50K
90460 Immunization administration through 18 years of age via any route, first or only component 5.3% 3,538 1,644 $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 3.8% 490 479 $25K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.7% 1,179 1,150 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.5% 677 669 $16K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2.3% 363 347 $15K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.2% 192 189 $14K
99383 2.0% 146 141 $13K
99384 1.8% 118 118 $12K
24 more codes
99203 Doctor's office visit, new patient (routine) 1.1% 120 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 70 $6K
90461 <1% 947 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 632 $5K
99382 <1% 45 $4K
96161 <1% 805 $2K
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment <1% 73 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 173 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 112 $2K
96160 <1% 12 $27.24
90734 0% 376 $0.00
90648 0% 214 $0.00
90715 0% 58 $0.00
90633 0% 58 $0.00
90710 0% 34 $0.00
90658 0% 24 $0.00
90651 0% 230 $0.00
90732 0% 217 $0.00
90656 0% 261 $0.00
90716 0% 12 $0.00
90688 0% 327 $0.00
90680 0% 38 $0.00
90696 0% 13 $0.00
90657 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.

From NPPES

Who's on the registration

Authorized officialMENDOZACASTILLO, RODIN (OWNER)