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

Pgvpediatrics, PA

Pgvpediatrics, PA was paid $486K by Medicaid between Sep 2020 and Feb 2022, across 40 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 18% of everything it billed.

33Billing provider infoPGVPEDIATRICS, PA
DALLAS, TX 75204
33aNPI1447301379assigned 01/16/2007
33bProvider typePediatrics Physician
28Total paid$486K
24GClaims16,482
24DCodes billed40
24AFirst – last monthSep 2020 – Feb 2022
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#510 of 1,136
Median peer was paid$329K
This provider vs. median1.5×

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
20202,385$51K
202112,793$388K
20221,304$48K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 18% 1,163 1,032 $87K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14% 930 900 $68K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 12% 802 744 $60K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9.6% 705 619 $47K
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 9.3% 963 833 $45K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 8.8% 884 784 $43K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.6% 953 841 $32K
90460 Immunization administration through 18 years of age via any route, first or only component 4.2% 2,847 1,025 $21K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.9% 248 241 $19K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3.7% 652 619 $18K
S8301 Infection control supplies, not otherwise specified 2.2% 1,609 1,347 $11K
99429 1.5% 231 224 $8K
28 more codes
90461 1.3% 1,305 $6K
99381 1.2% 91 $6K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 528 $3K
83655 <1% 244 $2K
99204 Doctor's office visit, new patient (more involved) <1% 32 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 47 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 21 $2K
99383 <1% 15 $1K
99203 Doctor's office visit, new patient (routine) <1% 20 $1K
99384 <1% 12 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 75 $976.79
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 25 $447.72
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 30 $389.20
S3620 Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) <1% 21 $350.00
83789 <1% 21 $202.50
99072 <1% 144 $50.00
84030 <1% 21 $46.20
90686 <1% 296 $17.51
90680 <1% 159 $0.01
90716 <1% 140 $0.01
90744 <1% 184 $0.01
90670 <1% 386 $0.01
90707 <1% 156 $0.01
90698 0% 261 $0.00
90696 0% 12 $0.00
90633 0% 180 $0.00
90700 0% 54 $0.00
90648 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 officialAGRAWAL, ANURADHA (PRESIDENT)