Physician
Bernal Pediatric Clinic
Bernal Pediatric Clinic was paid $510K by Medicaid between Jan 2018 and Apr 2022, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoBERNAL PEDIATRIC CLINIC
MCALLEN, TX 78504
MCALLEN, TX 78504
33aNPI1437318581assigned 06/04/2008
33bProvider typePediatrics Physician
28Total paid$510K
24GClaims19,321
24DCodes billed28
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#500 of 1,136
Median peer was paid$329K
This provider vs. median1.6×
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
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 | 75 | $3K | |
| 2019 | 53 | $2K | |
| 2020 | 1,485 | $34K | |
| 2021 | 12,468 | $327K | |
| 2022 | 5,240 | $144K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 5,249 | 4,393 | $188K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 15% | 1,890 | 1,715 | $79K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 489 | 472 | $36K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.1% | 461 | 451 | $36K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.0% | 451 | 438 | $36K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 6.9% | 2,650 | 1,256 | $35K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 320 | 307 | $23K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.3% | 1,664 | 1,563 | $22K |
| 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% | 389 | 366 | $19K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.8% | 2,539 | 1,134 | $19K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 89 | 88 | $5K |
| 90461 | <1% | 601 | 504 | $5K |
16 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 520 | $4K |
| 99000 | <1% | 162 | $2K | |
| 97170 | <1% | 21 | $1K | |
| 96160 | <1% | 336 | $659.51 | |
| 87807 | <1% | 18 | $198.00 | |
| 90620 | <1% | 76 | $0.02 | |
| 90658 | <1% | 302 | $0.01 | |
| 90651 | <1% | 108 | $0.01 | |
| 90734 | 0% | 84 | $0.00 | |
| 90633 | 0% | 56 | $0.00 | |
| 90670 | 0% | 290 | $0.00 | |
| 90710 | 0% | 50 | $0.00 | |
| 90647 | 0% | 293 | $0.00 | |
| 90723 | 0% | 161 | $0.00 | |
| 90680 | 0% | 40 | $0.00 | |
| 90696 | 0% | 12 | $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 officialBERNAL, JAIME (OWNER)