Medicaid Provider Spending

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

PEDIATRIC HEALTH SPECIALISTS, INC

NPI: 1528586054 · IRVING, TX 75039 · Pediatrics Physician · NPI assigned 09/05/2017

$2.85M
Total Medicaid Paid
130,313
Total Claims
105,044
Beneficiaries
64
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSUTERWALA, SMITA (PRESIDENT/CEO)
NPI Enumeration Date09/05/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 241 $13K
2020 6,569 $102K
2021 28,423 $548K
2022 30,557 $684K
2023 33,047 $755K
2024 31,476 $744K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,909 7,545 $579K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,808 7,529 $574K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,404 14,001 $548K
90460 Immunization administration through 18 years of age via any route, first or only component 29,867 12,652 $342K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,113 3,866 $202K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,353 1,320 $108K
99381 1,299 1,218 $101K
87428 1,966 1,902 $96K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7,420 5,046 $54K
90461 8,695 7,546 $37K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 773 736 $36K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,146 2,050 $28K
87634 495 484 $27K
92551 3,225 3,143 $26K
96112 265 257 $24K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 204 200 $17K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 854 416 $11K
87807 902 859 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 402 390 $9K
99215 Prolong outpt/office vis 123 109 $8K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 165 162 $4K
83655 194 192 $2K
96380 64 64 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 18 17 $984.96
0071A 13 13 $520.00
85018 212 209 $370.90
0081A 15 13 $310.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15 15 $165.95
81002 55 55 $157.68
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $101.92
90674 544 538 $48.77
90661 568 560 $32.52
96127 77 77 $23.10
90696 519 506 $1.49
90710 1,060 1,036 $0.00
90681 1,856 1,762 $0.00
90648 3,659 3,516 $0.00
90670 4,290 4,108 $0.00
99072 1,403 1,212 $0.00
90707 811 796 $0.00
90700 1,146 1,098 $0.00
99173 3,139 3,052 $0.00
91308 18 13 $0.00
90633 3,320 3,183 $0.00
90734 31 31 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 126 121 $0.00
90715 13 13 $0.00
90380 25 25 $0.00
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 50 45 $0.00
90685 36 36 $0.00
90381 146 145 $0.00
90716 792 777 $0.00
90723 2,734 2,600 $0.00
90677 2,159 2,125 $0.00
90697 1,869 1,842 $0.00
90688 1,340 1,306 $0.00
90680 1,540 1,513 $0.00
90686 378 342 $0.00
90647 131 128 $0.00
36416 114 113 $0.00
90698 232 203 $0.00
90651 83 83 $0.00
91307 36 36 $0.00
90656 81 81 $0.00