Medicaid Provider Spending

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

SOUTHWEST PEDIATRIC CLINICS PLLC

NPI: 1558017087 · SUGAR LAND, TX 77498 · Pediatrics Physician · NPI assigned 02/23/2022

$20K
Total Medicaid Paid
854
Total Claims
723
Beneficiaries
6
Codes Billed
2023-12
First Month
2024-09
Last Month

Provider Details

Authorized OfficialKHALIL, NESMA (OPERATIONS MANAGER)
NPI Enumeration Date02/23/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 28 $231.75
2024 826 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 182 159 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 223 197 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 101 93 $5K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 86 72 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 189 167 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 73 35 $387.00