Physician
South Texas Pediatric Urgent Care, PLLC
South Texas Pediatric Urgent Care, PLLC was paid $24K by Medicaid between Nov 2022 and Feb 2023, across 6 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 49% of everything it billed.
33Billing provider infoSOUTH TEXAS PEDIATRIC URGENT CARE, PLLC
DEL RIO, TX 78840
DEL RIO, TX 78840
33aNPI1457098030assigned 05/16/2022
33bProvider typePediatrics Physician
28Total paid$24K
24GClaims655
24DCodes billed6
24AFirst – last monthNov 2022 – Feb 2023
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#846 of 1,136
Median peer was paid$329K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2022 | 348 | $13K | |
| 2023 | 307 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 49% | 318 | 256 | $12K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 39% | 183 | 132 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 50 | 45 | $1K |
| 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 | 3.3% | 24 | 19 | $803.52 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 37 | 33 | $306.04 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 43 | 33 | $171.60 |
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 officialHESSLER, PAUL (OWNER)