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

Childrens Clinic of Lufkin PA

Childrens Clinic of Lufkin PA was paid $549K by Medicaid between Sep 2020 and Dec 2024, across 18 billing codes. Its largest line is 99460, — 29% of everything it billed.

33Billing provider infoCHILDRENS CLINIC OF LUFKIN PA
LUFKIN, TX 75904
33aNPI1508961855assigned 09/13/2006
33bProvider typePediatrics Physician
28Total paid$549K
24GClaims11,828
24DCodes billed18
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#482 of 1,136
Median peer was paid$329K
This provider vs. median1.7×

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

$0$20K$40K2018201920202021202220232024
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
2020572$33K
20213,211$134K
20223,251$126K
20232,766$140K
2024incomplete2,028$116K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99460 29% 1,984 1,868 $157K
99238 Hospital discharge day management, 30 minutes or less 25% 2,302 2,167 $138K
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 23% 2,209 1,855 $126K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 1,823 1,577 $74K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2.3% 269 250 $12K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2.1% 277 233 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.8% 678 312 $10K
87428 1.0% 179 162 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.0% 392 347 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 339 277 $2K
87077 <1% 285 260 $2K
99463 <1% 12 12 $1K
6 more codes
92587 <1% 59 $1K
99203 Doctor's office visit, new patient (routine) <1% 28 $991.06
S8301 Infection control supplies, not otherwise specified <1% 109 $778.34
99001 <1% 92 $71.28
36416 0% 325 $0.00
99072 0% 466 $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 officialGLASS, JEFFREY (OWNER)