Orange Pediatrics, PA
Orange Pediatrics, PA was paid $2.10M by Medicaid between Oct 2019 and Dec 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoORANGE PEDIATRICS, PA
ORANGE, TX 77630
ORANGE, TX 77630
33aNPI1487779286assigned 03/20/2007
33bProvider typeSpecialist
28Total paid$2.10M
24GClaims75,018
24DCodes billed46
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#24 of 382
Median peer was paid$29K
This provider vs. median72×
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 | 148 | $5K | |
| 2020 | 3,932 | $108K | |
| 2021 | 13,183 | $390K | |
| 2022 | 18,563 | $507K | |
| 2023 | 19,124 | $555K | |
| 2024incomplete | 20,068 | $532K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 32% | 13,453 | 12,281 | $669K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 6,607 | 5,281 | $235K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 2,909 | 2,680 | $233K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.1% | 2,307 | 2,101 | $171K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.0% | 1,921 | 1,769 | $168K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.9% | 12,397 | 5,207 | $123K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.1% | 1,587 | 1,399 | $108K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.7% | 7,463 | 3,344 | $99K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.8% | 2,161 | 1,899 | $79K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.5% | 1,307 | 1,206 | $74K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.1% | 4,905 | 4,402 | $65K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 1,030 | 935 | $26K |
34 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 2,784 | $22K |
| 87807 | <1% | 1,114 | $12K | |
| 99442 | <1% | 244 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 47 | $4K |
| 96160 | <1% | 1,493 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $980.94 |
| 86580 | <1% | 82 | $558.18 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 18 | $303.76 |
| 83655 | <1% | 49 | $278.19 | |
| 90658 | <1% | 204 | $181.54 | |
| 85018 | <1% | 59 | $77.53 | |
| 90671 | <1% | 641 | $2.09 | |
| 90674 | <1% | 77 | $0.71 | |
| 90686 | <1% | 732 | $0.65 | |
| 90651 | <1% | 842 | $0.50 | |
| 90619 | <1% | 174 | $0.15 | |
| 90620 | <1% | 75 | $0.10 | |
| 90734 | <1% | 220 | $0.04 | |
| 90715 | <1% | 313 | $0.04 | |
| 90648 | <1% | 988 | $0.02 | |
| 90670 | <1% | 1,060 | $0.02 | |
| 90723 | <1% | 499 | $0.02 | |
| 90710 | 0% | 994 | $0.00 | |
| 90633 | 0% | 991 | $0.00 | |
| 90700 | 0% | 186 | $0.00 | |
| 90685 | 0% | 61 | $0.00 | |
| 90680 | 0% | 809 | $0.00 | |
| 96127 | 0% | 1,287 | $0.00 | |
| 90698 | 0% | 542 | $0.00 | |
| 97802 | 0% | 21 | $0.00 | |
| 90696 | 0% | 245 | $0.00 | |
| 90744 | 0% | 57 | $0.00 | |
| 36416 | 0% | 24 | $0.00 | |
| 90657 | 0% | 26 | $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 officialSARDA, FELIPE (MEDICAL DIRECTOR)