Physician
Alton Childrens Care Clinic, P.A.
Alton Childrens Care Clinic, P.A. was paid $1.80M by Medicaid between Dec 2019 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoALTON CHILDRENS CARE CLINIC, P.A.
ALTON, TX 78573
ALTON, TX 78573
33aNPI1447597653assigned 01/08/2013
33bProvider typePediatrics Physician
28Total paid$1.80M
24GClaims65,411
24DCodes billed39
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#264 of 1,136
Median peer was paid$329K
This provider vs. median5.5×
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
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 | |
|---|---|---|---|
| 2019 | 18 | $664.02 | |
| 2020 | 1,101 | $31K | |
| 2021 | 12,149 | $330K | |
| 2022 | 18,114 | $502K | |
| 2023 | 18,552 | $498K | |
| 2024incomplete | 15,477 | $443K |
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 | 46% | 22,575 | 17,579 | $835K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.2% | 1,798 | 1,771 | $149K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 6.8% | 2,895 | 2,692 | $122K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.3% | 1,435 | 1,416 | $114K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.6% | 1,126 | 1,109 | $100K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.7% | 6,335 | 3,403 | $85K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.5% | 3,370 | 3,018 | $81K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.3% | 5,759 | 5,419 | $78K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.7% | 5,889 | 3,010 | $66K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 650 | 635 | $49K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.8% | 4,927 | 4,530 | $32K |
| 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 | 1.2% | 416 | 391 | $21K |
27 more codes
| 92567 | <1% | 1,163 | $15K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 214 | $13K |
| 87807 | <1% | 1,092 | $12K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 242 | $9K |
| 87428 | <1% | 132 | $9K | |
| 90461 | <1% | 1,628 | $7K | |
| 94014 | <1% | 86 | $4K | |
| 86308 | <1% | 409 | $2K | |
| 81003 | <1% | 928 | $2K | |
| 97169 | <1% | 24 | $505.00 | |
| 99000 | <1% | 42 | $401.83 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $172.65 |
| 90686 | <1% | 820 | $77.37 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 16 | $29.15 |
| 90671 | <1% | 273 | $0.44 | |
| 90651 | <1% | 109 | $0.31 | |
| 90656 | <1% | 150 | $0.01 | |
| 90670 | 0% | 294 | $0.00 | |
| 90710 | 0% | 14 | $0.00 | |
| 90715 | 0% | 14 | $0.00 | |
| 90633 | 0% | 157 | $0.00 | |
| 90734 | 0% | 43 | $0.00 | |
| 90697 | 0% | 137 | $0.00 | |
| 90680 | 0% | 127 | $0.00 | |
| 90698 | 0% | 80 | $0.00 | |
| 90696 | 0% | 15 | $0.00 | |
| 90619 | 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 officialMERCADO, ALLAN (M.D.)
| Provider | Location | Paid |
|---|---|---|
| Children Care Clinic LP | Edinburg, TX | $7.28M |
| Donna Children's Care Clinic PLLC | Donna, TX | $363K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.