Physician
Pediatric Healthcare of Northwest Houston PA
Pediatric Healthcare of Northwest Houston PA was paid $1.29M by Medicaid between Jan 2018 and Dec 2021, across 43 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 21% of everything it billed.
33Billing provider infoPEDIATRIC HEALTHCARE OF NORTHWEST HOUSTON PA
HOUSTON, TX 77070
HOUSTON, TX 77070
33aNPI1447372123assigned 04/04/2007
33bProvider typePediatrics Physician
28Total paid$1.29M
24GClaims72,434
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#331 of 1,136
Median peer was paid$329K
This provider vs. median3.9×
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 | 1,030 | $25K | |
| 2019 | 2,849 | $61K | |
| 2020 | 19,204 | $326K | |
| 2021 | 49,351 | $874K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 21% | 3,701 | 3,577 | $275K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 3,447 | 3,162 | $246K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 18% | 3,013 | 2,921 | $231K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 13% | 2,312 | 2,028 | $167K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 20,827 | 7,827 | $152K |
| 99429 | 7.3% | 3,056 | 2,962 | $95K | |
| 90461 | 3.0% | 5,676 | 4,652 | $39K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.2% | 3,736 | 2,802 | $28K |
| 99381 | 2.0% | 340 | 330 | $25K | |
| 96161 | <1% | 2,865 | 2,505 | $5K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 516 | 477 | $4K |
| 99383 | <1% | 44 | 43 | $4K |
31 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 521 | $3K |
| 83655 | <1% | 470 | $3K | |
| 90620 | <1% | 164 | $2K | |
| 0001A | <1% | 51 | $2K | |
| 90651 | <1% | 738 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 149 | $1K |
| 99384 | <1% | 13 | $1K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 85 | $893.49 |
| 90734 | <1% | 714 | $845.74 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 25 | $651.80 |
| 90686 | <1% | 2,890 | $400.51 | |
| 90670 | <1% | 2,339 | $192.08 | |
| 85018 | <1% | 731 | $140.49 | |
| 80061 | Lipid panel | <1% | 93 | $131.64 |
| 90715 | <1% | 367 | $34.03 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 7,478 | $3.83 |
| 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% | 32 | $0.01 |
| 90648 | 0% | 854 | $0.00 | |
| 90633 | 0% | 852 | $0.00 | |
| 90710 | 0% | 243 | $0.00 | |
| 90707 | 0% | 223 | $0.00 | |
| 90700 | 0% | 201 | $0.00 | |
| 91300 | 0% | 51 | $0.00 | |
| 90723 | 0% | 293 | $0.00 | |
| 90698 | 0% | 753 | $0.00 | |
| 90680 | 0% | 1,197 | $0.00 | |
| 90696 | 0% | 236 | $0.00 | |
| 90744 | 0% | 270 | $0.00 | |
| 96127 | 0% | 609 | $0.00 | |
| 90716 | 0% | 227 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 32 | $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 officialPALANPURWALA, KHOZEMA (PHYSICIAN)