Medicaid Provider Spending

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

NEIGHBORHOOD PEDIATRICS

NPI: 1548524150 · SHENANDOAH, TX 77385 · Pediatrics Physician · NPI assigned 06/28/2012

$1.11M
Total Medicaid Paid
59,246
Total Claims
54,365
Beneficiaries
55
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCONNELL, RACHEL (MEMBER)
NPI Enumeration Date06/28/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 3,821 $51K
2021 15,979 $261K
2022 14,875 $281K
2023 13,581 $295K
2024 10,990 $221K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,658 6,096 $232K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,619 2,553 $206K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,906 3,594 $195K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,246 2,158 $171K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 853 830 $72K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,748 4,516 $38K
S8301 Infection control supplies, not otherwise specified 11,241 10,365 $38K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 115 109 $37K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 849 798 $34K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,578 1,511 $21K
90472 Immunization administration, each additional vaccine (list separately) 2,281 1,117 $18K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,726 1,693 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 380 374 $5K
90837 Psychotherapy, 53 minutes with patient 71 25 $5K
97802 379 370 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 336 324 $4K
99072 7,960 7,252 $4K
99381 29 28 $2K
99215 Prolong outpt/office vis 17 16 $1K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 38 37 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 39 37 $898.16
92551 157 145 $754.84
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 13 12 $667.29
90460 Immunization administration through 18 years of age via any route, first or only component 43 38 $545.22
99429 25 25 $506.94
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 37 37 $486.63
96161 1,216 1,169 $406.47
87807 30 29 $314.05
96160 871 825 $152.03
V5008 Hearing screening 99 95 $70.00
90686 426 416 $19.40
96127 3,302 3,216 $2.70
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 28 28 $0.30
90461 18 17 $0.30
90677 20 18 $0.03
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13 13 $0.02
91307 18 14 $0.01
90670 315 312 $0.01
90680 67 65 $0.00
90647 105 104 $0.00
90723 127 124 $0.00
90716 26 25 $0.00
3074F 447 407 $0.00
3008F 1,116 984 $0.00
90697 14 13 $0.00
1125F 42 33 $0.00
99173 85 76 $0.00
G8482 Influenza immunization administered or previously received 478 463 $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) 362 351 $0.00
3078F 435 398 $0.00
90707 27 26 $0.00
1159F 1,079 954 $0.00
94664 37 37 $0.00
90633 13 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) 86 80 $0.00