Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lone Star Pediatrics, PA

Lone Star Pediatrics, PA was paid $6.74M by Medicaid between Mar 2018 and Dec 2024, across 84 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.

33Billing provider infoLONE STAR PEDIATRICS, PA
KAUFMAN, TX 75142
33aNPI1487843447assigned 10/16/2007
33bProvider typePediatrics Physician
28Total paid$6.74M
24GClaims238,124
24DCodes billed84
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#53 of 1,136
Median peer was paid$329K
This provider vs. median21×

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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
2018146$3K
201989$2K
202018,651$351K
202161,714$1.61M
202263,345$1.93M
202352,637$1.65M
2024incomplete41,542$1.19M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 24% 30,576 26,122 $1.61M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.2% 16,640 15,246 $620K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.1% 6,290 6,136 $476K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 6.6% 1,212 1,206 $448K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6.2% 5,081 4,937 $419K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.7% 5,262 5,151 $383K
94010 5.5% 15,048 6,865 $373K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 5.4% 992 991 $367K
87428 5.4% 6,074 5,753 $361K
90460 Immunization administration through 18 years of age via any route, first or only component 4.0% 26,656 12,168 $269K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.7% 3,525 3,336 $250K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.8% 13,368 12,740 $186K
72 more codes
99429 2.4% 6,162 $161K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2.1% 10,410 $140K
99050 1.2% 5,405 $80K
99000 1.1% 7,121 $73K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 7,303 $57K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 3,839 $54K
99381 <1% 811 $52K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 605 $51K
95012 <1% 2,776 $43K
95117 <1% 4,310 $37K
90461 <1% 7,108 $31K
99383 <1% 305 $26K
69210 <1% 544 $20K
99204 Doctor's office visit, new patient (more involved) <1% 231 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 671 $17K
99091 <1% 63 $12K
96160 <1% 5,625 $11K
80048 Basic metabolic panel (calcium, ionized) <1% 1,513 $11K
83655 <1% 1,067 $11K
99384 <1% 139 $11K
94060 <1% 294 $10K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 778 $10K
90480 <1% 210 $6K
99382 <1% 70 $6K
99421 <1% 242 $4K
97169 <1% 405 $4K
0071A <1% 83 $3K
81002 <1% 1,091 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 488 $3K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 210 $2K
90473 <1% 221 $2K
80076 <1% 311 $2K
99203 Doctor's office visit, new patient (routine) <1% 26 $2K
0001A <1% 24 $960.00
99354 <1% 41 $895.43
84030 <1% 189 $864.67
96380 <1% 32 $593.70
0072A <1% 13 $520.00
51701 <1% 12 $416.79
90677 <1% 767 $203.69
90620 <1% 139 $200.61
94760 <1% 123 $193.39
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 13 $138.12
86580 <1% 12 $101.04
90474 <1% 12 $94.86
90651 <1% 2,133 $88.07
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 1,103 $51.86
90686 <1% 4,876 $27.63
96161 <1% 77 $22.77
36416 <1% 8,273 $10.27
90619 <1% 899 $5.10
91307 <1% 238 $1.16
91305 <1% 209 $0.88
90734 <1% 998 $0.82
90680 <1% 2,031 $0.54
90648 <1% 3,040 $0.54
90670 <1% 2,322 $0.54
90723 <1% 2,185 $0.53
91308 <1% 61 $0.40
90715 <1% 947 $0.24
91320 <1% 32 $0.20
90381 <1% 26 $0.11
91319 <1% 12 $0.08
90707 <1% 525 $0.06
90716 <1% 547 $0.05
90672 <1% 324 $0.05
90696 0% 906 $0.00
90633 0% 1,867 $0.00
90710 0% 1,090 $0.00
G9919 Screening performed and positive and provision of recommendations 0% 57 $0.00
90700 0% 744 $0.00
G9920 Screening performed and negative 0% 64 $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 officialLEWIS, CHARLES (OWNER)
Same official

Other billing entities under LEWIS, CHARLES

Full network →
ProviderLocationPaid
Charles Deron LewisCarthage, TX$34K
Saxonburg Volunteer Fire CompanySaxonburg, PA$8K
Olive Public SchoolDrumright, OK$2K
Kids Healthcare, INCKaufman, TX$327.16

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.