Physician
Neighborhood Pediatrics
Neighborhood Pediatrics was paid $1.11M by Medicaid between Sep 2020 and Dec 2024, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoNEIGHBORHOOD PEDIATRICS
SHENANDOAH, TX 77385
SHENANDOAH, TX 77385
33aNPI1548524150assigned 06/28/2012
33bProvider typePediatrics Physician
28Total paid$1.11M
24GClaims59,246
24DCodes billed55
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#354 of 1,136
Median peer was paid$329K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2020 | 3,821 | $51K | |
| 2021 | 15,979 | $261K | |
| 2022 | 14,875 | $281K | |
| 2023 | 13,581 | $295K | |
| 2024incomplete | 10,990 | $221K |
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 | 21% | 6,658 | 6,096 | $232K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 19% | 2,619 | 2,553 | $206K |
| 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 | 18% | 3,906 | 3,594 | $195K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 15% | 2,246 | 2,158 | $171K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 853 | 830 | $72K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.5% | 4,748 | 4,516 | $38K |
| S8301 | Infection control supplies, not otherwise specified | 3.4% | 11,241 | 10,365 | $38K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 3.4% | 115 | 109 | $37K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.0% | 849 | 798 | $34K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 1,578 | 1,511 | $21K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.6% | 2,281 | 1,117 | $18K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 1,726 | 1,693 | $14K |
43 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 380 | $5K |
| 90837 | Psychotherapy session, about an hour | <1% | 71 | $5K |
| 97802 | <1% | 379 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 336 | $4K |
| 99072 | <1% | 7,960 | $4K | |
| 99381 | <1% | 29 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 17 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 38 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 39 | $898.16 |
| 92551 | <1% | 157 | $754.84 | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 13 | $667.29 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 43 | $545.22 |
| 99429 | <1% | 25 | $506.94 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 37 | $486.63 |
| 96161 | <1% | 1,216 | $406.47 | |
| 87807 | <1% | 30 | $314.05 | |
| 96160 | <1% | 871 | $152.03 | |
| V5008 | Hearing screening | <1% | 99 | $70.00 |
| 90686 | <1% | 426 | $19.40 | |
| 96127 | <1% | 3,302 | $2.70 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 28 | $0.30 |
| 90461 | <1% | 18 | $0.30 | |
| 90677 | <1% | 20 | $0.03 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 13 | $0.02 |
| 91307 | <1% | 18 | $0.01 | |
| 90670 | <1% | 315 | $0.01 | |
| 90680 | 0% | 67 | $0.00 | |
| 90647 | 0% | 105 | $0.00 | |
| 90723 | 0% | 127 | $0.00 | |
| 90716 | 0% | 26 | $0.00 | |
| 3074F | 0% | 447 | $0.00 | |
| 3008F | 0% | 1,116 | $0.00 | |
| 90697 | 0% | 14 | $0.00 | |
| 1125F | 0% | 42 | $0.00 | |
| 99173 | 0% | 85 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 478 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 362 | $0.00 |
| 3078F | 0% | 435 | $0.00 | |
| 90707 | 0% | 27 | $0.00 | |
| 1159F | 0% | 1,079 | $0.00 | |
| 94664 | 0% | 37 | $0.00 | |
| 90633 | 0% | 13 | $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) | 0% | 86 | $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 officialMCCONNELL, RACHEL (MEMBER)