Sandcastle Pediatrics LLC
Sandcastle Pediatrics LLC was paid $260K by Medicaid between Oct 2023 and Dec 2024, across 40 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 19% of everything it billed.
ROCKPORT, TX 78382
Next to other Pediatrics Physician providers in Texas
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 3,575 | $39K | |
| 2024incomplete | 12,698 | $221K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 19% | 598 | 595 | $50K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 558 | 545 | $44K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 5,382 | 4,770 | $43K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 404 | 400 | $36K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 2,510 | 1,090 | $35K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 292 | 292 | $29K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.9% | 1,379 | 1,013 | $13K |
| CP002 | <1% | 164 | 144 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 441 | 426 | $1K |
| 99381 | <1% | 14 | 14 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 390 | 192 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 150 | 131 | $1K |
28 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 14 | $778.82 |
| 86328 | <1% | 47 | $444.84 | |
| 87807 | <1% | 66 | $332.20 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 22 | $302.30 |
| 92551 | <1% | 246 | $137.35 | |
| 83655 | <1% | 28 | $131.88 | |
| 92587 | <1% | 226 | $127.68 | |
| 90686 | <1% | 69 | $68.52 | |
| 81002 | <1% | 17 | $8.18 | |
| 83026 | <1% | 14 | $3.03 | |
| 90671 | <1% | 212 | $0.05 | |
| 90633 | 0% | 153 | $0.00 | |
| 90461 | 0% | 854 | $0.00 | |
| 90670 | 0% | 231 | $0.00 | |
| 90681 | 0% | 196 | $0.00 | |
| 99173 | 0% | 502 | $0.00 | |
| 90648 | 0% | 14 | $0.00 | |
| 96160 | 0% | 34 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 12 | $0.00 |
| 90700 | 0% | 24 | $0.00 | |
| 90710 | 0% | 133 | $0.00 | |
| 90734 | 0% | 47 | $0.00 | |
| 90715 | 0% | 28 | $0.00 | |
| 90696 | 0% | 25 | $0.00 | |
| 90697 | 0% | 276 | $0.00 | |
| 96127 | 0% | 427 | $0.00 | |
| 90680 | 0% | 60 | $0.00 | |
| 90651 | 0% | 14 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| DR. Melecio F Apostol M.D. | Rockport, TX | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.