South Padre Island Pediatric Center
South Padre Island Pediatric Center was paid $730K by Medicaid between Feb 2018 and Dec 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
33Billing provider infoSOUTH PADRE ISLAND PEDIATRIC CENTER
CORPUS CHRISTI, TX 78415
CORPUS CHRISTI, TX 78415
33aNPI1548450190assigned 07/30/2007
33bProvider typeSpecialist
28Total paid$730K
24GClaims57,934
24DCodes billed51
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#53 of 382
Median peer was paid$29K
This provider vs. median25×
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 | |
|---|---|---|---|
| 2018 | 13 | $479.57 | |
| 2020 | 1,113 | $16K | |
| 2021 | 11,582 | $186K | |
| 2022 | 14,397 | $235K | |
| 2023 | 17,418 | $167K | |
| 2024incomplete | 13,411 | $125K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 13,874 | 10,909 | $136K |
| 87428 | 14% | 1,322 | 1,246 | $101K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 14% | 1,030 | 1,010 | $100K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 994 | 972 | $93K |
| 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 | 8.9% | 4,729 | 4,073 | $65K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 587 | 577 | $51K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 6.0% | 1,055 | 971 | $44K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.7% | 3,431 | 3,313 | $42K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.5% | 2,640 | 1,410 | $26K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.5% | 310 | 299 | $26K |
| S8301 | Infection control supplies, not otherwise specified | 3.1% | 5,785 | 4,949 | $23K |
| 99051 | <1% | 2,773 | 2,476 | $5K |
39 more codes
| 99050 | <1% | 161 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 450 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 483 | $3K |
| 96160 | <1% | 1,640 | $2K | |
| 0072A | <1% | 35 | $2K | |
| 0071A | <1% | 42 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 270 | $820.10 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 291 | $818.17 |
| 0001A | <1% | 13 | $480.00 | |
| 90620 | <1% | 45 | $434.80 | |
| 90651 | <1% | 108 | $290.27 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 32 | $245.09 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $240.46 |
| 90734 | <1% | 92 | $158.53 | |
| 92552 | <1% | 59 | $148.75 | |
| 90688 | <1% | 295 | $140.43 | |
| 92551 | <1% | 2,373 | $65.96 | |
| 90686 | <1% | 504 | $59.42 | |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | <1% | 173 | $16.50 |
| 96161 | <1% | 1,272 | $2.54 | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 0% | 2,229 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 1,745 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 1,419 | $0.00 |
| 96127 | 0% | 1,096 | $0.00 | |
| 90696 | 0% | 13 | $0.00 | |
| 91307 | 0% | 111 | $0.00 | |
| 90680 | 0% | 30 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 13 | $0.00 |
| 90656 | 0% | 34 | $0.00 | |
| 90619 | 0% | 26 | $0.00 | |
| 90657 | 0% | 14 | $0.00 | |
| 99173 | 0% | 2,470 | $0.00 | |
| 90670 | 0% | 235 | $0.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 1,438 | $0.00 |
| 90648 | 0% | 69 | $0.00 | |
| 90671 | 0% | 56 | $0.00 | |
| 91300 | 0% | 15 | $0.00 | |
| 90715 | 0% | 29 | $0.00 | |
| 90633 | 0% | 12 | $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 officialRAMAKRISHNA, MULUKUTLA (PRESIDENT)