Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CLINICA LA SALUD PLLC

NPI: 1487829214 · HOUSTON, TX 77055 · Pediatric Nurse Practitioner · NPI assigned 04/23/2008

$5.09M
Total Medicaid Paid
217,777
Total Claims
189,624
Beneficiaries
48
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLEVY, STEVEN (OWNER/ PRESIDENT)
NPI Enumeration Date04/23/2008

Related Entities

Other providers sharing the same authorized official: LEVY, STEVEN

ProviderCityStateTotal Paid
LONE STAR CHILDREN'S MEDICAL PLLC HOUSTON TX $1.62M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 402 $9K
2019 1,161 $17K
2020 17,948 $329K
2021 53,088 $1.17M
2022 59,039 $1.39M
2023 54,135 $1.34M
2024 32,004 $840K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45,426 43,899 $1.61M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7,274 7,241 $580K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,235 6,220 $547K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,740 9,663 $487K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,151 6,116 $461K
90460 Immunization administration through 18 years of age via any route, first or only component 37,567 20,979 $336K
99429 5,513 5,490 $171K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 11,973 5,973 $168K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 3,926 3,903 $162K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,811 1,800 $133K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,360 4,304 $104K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,088 7,048 $99K
99000 8,426 8,310 $76K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,761 4,675 $52K
90461 5,924 4,605 $32K
87428 250 249 $19K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 199 199 $16K
96161 5,451 5,438 $9K
87807 677 674 $7K
97169 282 282 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 95 94 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 183 183 $2K
99381 28 28 $2K
81002 625 614 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 99 99 $896.52
96160 528 528 $822.96
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 45 45 $264.76
G8510 Screening for depression is documented as negative, a follow-up plan is not required 19 19 $178.33
90686 12,207 12,171 $2.08
90671 348 345 $0.55
90651 1,845 1,843 $0.22
90697 334 331 $0.21
90620 1,117 1,116 $0.20
90734 1,440 1,433 $0.01
90680 797 796 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 18,393 18,297 $0.00
90696 127 124 $0.00
90716 82 81 $0.00
90723 157 157 $0.00
90698 12 12 $0.00
90381 30 27 $0.00
90648 738 736 $0.00
90670 1,799 1,792 $0.00
90710 115 112 $0.00
90633 975 971 $0.00
90715 368 367 $0.00
90700 127 126 $0.00
90707 110 109 $0.00