Physician
Healthy Gutz Pediatric Clinic PLLC
Healthy Gutz Pediatric Clinic PLLC was paid $221K by Medicaid between Feb 2021 and Aug 2024, across 4 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 36% of everything it billed.
33Billing provider infoHEALTHY GUTZ PEDIATRIC CLINIC PLLC
SAN ANTONIO, TX 78258
SAN ANTONIO, TX 78258
33aNPI1548881063assigned 05/06/2020
33bProvider typePediatric Gastroenterology Physician
28Total paid$221K
24GClaims3,087
24DCodes billed4
24AFirst – last monthFeb 2021 – Aug 2024
Compared with peers
Next to other Pediatric Gastroenterology Physician providers in Texas
Rank by total paid#8 of 13
Median peer was paid$260K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2021 | 387 | $32K | |
| 2022 | 923 | $75K | |
| 2023 | 1,127 | $75K | |
| 2024incomplete | 650 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 36% | 1,062 | 1,003 | $79K |
| 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 | 27% | 1,143 | 1,104 | $59K |
| 99205 | Prolong outpt/office vis | 21% | 473 | 455 | $47K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 16% | 409 | 406 | $36K |
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 officialOKWU, VERA (OWNER)