Physician
Pediatric Associates PLLC
Pediatric Associates PLLC was paid $4.24M by Medicaid between Apr 2018 and Dec 2024, across 65 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES PLLC
PALESTINE, TX 75801
PALESTINE, TX 75801
33aNPI1568774917assigned 07/13/2010
33bProvider typePediatrics Physician
28Total paid$4.24M
24GClaims169,089
24DCodes billed65
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#105 of 1,136
Median peer was paid$329K
This provider vs. median13×
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 | 81 | $4K | |
| 2019 | 84 | $948.80 | |
| 2020 | 6,081 | $139K | |
| 2021 | 42,838 | $1.01M | |
| 2022 | 42,994 | $1.05M | |
| 2023 | 40,866 | $1.07M | |
| 2024incomplete | 36,145 | $956K |
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% | 34,104 | 30,962 | $1.16M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 6,203 | 6,147 | $472K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 6,280 | 5,943 | $471K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.6% | 5,274 | 5,215 | $408K |
| 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 | 9.5% | 8,483 | 8,012 | $403K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.8% | 31,449 | 12,573 | $330K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.3% | 3,411 | 3,315 | $267K |
| 99429 | 4.5% | 6,027 | 5,987 | $191K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.2% | 1,858 | 1,784 | $136K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 10,292 | 9,300 | $74K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 4,212 | 4,048 | $53K |
| 87634 | <1% | 699 | 669 | $38K |
53 more codes
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 963 | $36K |
| 90461 | <1% | 7,613 | $33K | |
| 99460 | <1% | 429 | $32K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 502 | $29K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 312 | $15K |
| 83655 | <1% | 1,475 | $14K | |
| 99381 | <1% | 176 | $14K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 1,000 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 553 | $7K |
| 90756 | <1% | 449 | $6K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 160 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 604 | $4K |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | <1% | 6,685 | $3K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 328 | $3K |
| 54150 | <1% | 40 | $3K | |
| 92015 | Determination of refractive state | <1% | 703 | $3K |
| 92587 | <1% | 1,673 | $3K | |
| 90674 | <1% | 333 | $3K | |
| 90671 | <1% | 1,473 | $1K | |
| 87807 | <1% | 89 | $904.11 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $663.63 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 48 | $483.42 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | $407.07 |
| 69210 | <1% | 13 | $371.10 | |
| 85014 | <1% | 186 | $362.47 | |
| 81002 | <1% | 105 | $285.37 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $175.92 |
| 90661 | <1% | 228 | $159.23 | |
| 85018 | <1% | 187 | $147.55 | |
| 96160 | <1% | 96 | $134.47 | |
| 99177 | <1% | 1,691 | $3.50 | |
| 90677 | <1% | 363 | $0.69 | |
| 90688 | <1% | 766 | $0.02 | |
| 90651 | <1% | 855 | $0.01 | |
| 90620 | <1% | 43 | $0.01 | |
| 90680 | 0% | 3,326 | $0.00 | |
| 99070 | 0% | 531 | $0.00 | |
| 90723 | 0% | 3,125 | $0.00 | |
| 90696 | 0% | 270 | $0.00 | |
| 90647 | 0% | 350 | $0.00 | |
| 90698 | 0% | 123 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 29 | $0.00 |
| 90670 | 0% | 2,824 | $0.00 | |
| 90710 | 0% | 1,830 | $0.00 | |
| 90648 | 0% | 3,694 | $0.00 | |
| 90734 | 0% | 559 | $0.00 | |
| 90715 | 0% | 141 | $0.00 | |
| 90633 | 0% | 2,219 | $0.00 | |
| 99072 | 0% | 565 | $0.00 | |
| 90700 | 0% | 627 | $0.00 | |
| 90687 | 0% | 302 | $0.00 | |
| 99173 | 0% | 28 | $0.00 | |
| 90672 | 0% | 75 | $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 officialGARCIA, MICHAEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| South Louisiana Medical Associates | Houma, LA | $21.34M |
| South Louisiana Medical Associates | Houma, LA | $7.37M |
| Medenvios Healthcare, INC. | Miami, FL | $1.20M |
| Helping Hand Pharmacy, LLC | Katy, TX | $832K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.