Physician
Felici Pediatric Clinic, PLLC
Felici Pediatric Clinic, PLLC was paid $2.22M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoFELICI PEDIATRIC CLINIC, PLLC
MCALLEN, TX 78504
MCALLEN, TX 78504
33aNPI1568425254assigned 04/11/2006
33bProvider typePediatrics Physician
28Total paid$2.22M
24GClaims129,669
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#222 of 1,136
Median peer was paid$329K
This provider vs. median6.8×
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 | 56 | $1K | |
| 2020 | 3,989 | $72K | |
| 2021 | 31,900 | $509K | |
| 2022 | 40,794 | $654K | |
| 2023 | 30,905 | $567K | |
| 2024incomplete | 22,025 | $419K |
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 | 27% | 25,695 | 21,786 | $596K |
| 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 | 10% | 7,171 | 6,576 | $227K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.3% | 2,335 | 2,315 | $206K |
| S8301 | Infection control supplies, not otherwise specified | 8.8% | 20,405 | 17,047 | $195K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.3% | 2,227 | 2,201 | $184K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 7.7% | 4,559 | 4,332 | $171K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 1,942 | 1,928 | $155K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.6% | 11,597 | 6,014 | $124K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.7% | 1,070 | 1,057 | $83K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.1% | 7,575 | 3,536 | $69K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 4,885 | 4,681 | $42K |
| 87428 | 1.8% | 571 | 557 | $41K |
48 more codes
| 99429 | <1% | 647 | $22K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,007 | $17K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,693 | $11K |
| 90461 | <1% | 2,831 | $11K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 158 | $8K |
| 99000 | <1% | 1,048 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 80 | $7K |
| 0071A | <1% | 140 | $5K | |
| 96161 | <1% | 2,575 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 441 | $5K |
| 0072A | <1% | 113 | $5K | |
| 0001A | <1% | 120 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 118 | $4K |
| 0002A | <1% | 112 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 254 | $4K |
| 87807 | <1% | 416 | $3K | |
| 83655 | <1% | 238 | $2K | |
| 99051 | <1% | 141 | $558.76 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $554.04 |
| 0011A | <1% | 14 | $488.00 | |
| 0012A | <1% | 13 | $448.00 | |
| 90671 | <1% | 337 | $432.34 | |
| 0081A | <1% | 12 | $400.00 | |
| 81003 | <1% | 131 | $147.42 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $92.08 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 6,586 | $40.59 |
| 97802 | <1% | 6,088 | $8.66 | |
| 90686 | <1% | 2,976 | $1.33 | |
| 90651 | <1% | 267 | $0.13 | |
| 90621 | <1% | 259 | $0.09 | |
| 90619 | <1% | 91 | $0.03 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 3,168 | $0.00 |
| 90698 | 0% | 668 | $0.00 | |
| 91307 | 0% | 280 | $0.00 | |
| 90680 | 0% | 274 | $0.00 | |
| 90744 | 0% | 174 | $0.00 | |
| 91301 | 0% | 31 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 96127 | 0% | 56 | $0.00 | |
| 90710 | 0% | 136 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,574 | $0.00 |
| 90670 | 0% | 581 | $0.00 | |
| 90734 | 0% | 197 | $0.00 | |
| 90633 | 0% | 240 | $0.00 | |
| 90715 | 0% | 15 | $0.00 | |
| 91300 | 0% | 266 | $0.00 | |
| 91320 | 0% | 13 | $0.00 | |
| 91308 | 0% | 19 | $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 officialRAMIREZ, ERNESTO (OWNER)