Physician
Wyoming Springs Pediatriacs
Wyoming Springs Pediatriacs was paid $221K by Medicaid between Jul 2020 and Apr 2022, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoWYOMING SPRINGS PEDIATRIACS
ROUND ROCK, TX 78681
ROUND ROCK, TX 78681
33aNPI1457468373assigned 08/24/2006
33bProvider typePediatrics Physician
28Total paid$221K
24GClaims8,868
24DCodes billed23
24AFirst – last monthJul 2020 – Apr 2022
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#624 of 1,136
Median peer was paid$329K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2020 | 1,105 | $20K | |
| 2021 | 6,501 | $166K | |
| 2022 | 1,262 | $36K |
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 | 31% | 1,876 | 1,707 | $68K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 18% | 523 | 522 | $41K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 16% | 421 | 418 | $35K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 3,001 | 1,356 | $23K |
| 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 | 9.0% | 396 | 378 | $20K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.8% | 202 | 191 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 95 | 95 | $8K |
| 90461 | 2.6% | 694 | 586 | $6K | |
| 99000 | <1% | 202 | 199 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 145 | 144 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 175 | 174 | $1K |
| 96160 | <1% | 50 | 50 | $126.50 |
11 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 29 | $43.98 |
| 90686 | <1% | 379 | $0.01 | |
| 90672 | 0% | 77 | $0.00 | |
| 90648 | 0% | 162 | $0.00 | |
| 90670 | 0% | 167 | $0.00 | |
| 90707 | 0% | 51 | $0.00 | |
| 90633 | 0% | 38 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 90716 | 0% | 40 | $0.00 | |
| 90723 | 0% | 85 | $0.00 | |
| 90680 | 0% | 48 | $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 officialDE HARO, RAFAEL (PHYSICIAN)