NP / PA
NP Children's Healthcare Clinic, PLLC
NP Children's Healthcare Clinic, PLLC was paid $2.67M by Medicaid between Jan 2019 and Dec 2024, across 56 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
33Billing provider infoNP CHILDREN'S HEALTHCARE CLINIC, PLLC
PORT ARTHUR, TX 77642
PORT ARTHUR, TX 77642
33aNPI1598022410assigned 04/16/2012
33bProvider typeNurse Practitioner
28Total paid$2.67M
24GClaims138,935
24DCodes billed56
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Texas
Rank by total paid#5 of 142
Median peer was paid$25K
This provider vs. median106×
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 | |
|---|---|---|---|
| 2019 | 1,452 | $24K | |
| 2020 | 13,256 | $255K | |
| 2021 | 31,531 | $600K | |
| 2022 | 33,875 | $683K | |
| 2023 | 30,209 | $703K | |
| 2024incomplete | 28,612 | $406K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 20% | 13,180 | 11,304 | $547K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 16,803 | 14,115 | $497K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 4,665 | 4,348 | $320K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 4,118 | 3,842 | $302K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.9% | 22,847 | 9,446 | $212K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.7% | 2,208 | 2,073 | $179K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.6% | 2,739 | 2,491 | $177K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.9% | 13,422 | 11,372 | $157K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 4,029 | 1,837 | $50K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.7% | 674 | 604 | $47K |
| 90461 | 1.3% | 5,190 | 4,088 | $34K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 4,587 | 3,131 | $32K |
44 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.0% | 915 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,168 | $24K |
| 87634 | <1% | 257 | $13K | |
| 90671 | <1% | 365 | $10K | |
| 99000 | <1% | 835 | $8K | |
| 90677 | <1% | 381 | $7K | |
| 90651 | <1% | 1,020 | $6K | |
| 90674 | <1% | 208 | $6K | |
| 90688 | <1% | 1,970 | $4K | |
| 87807 | <1% | 362 | $3K | |
| 97169 | <1% | 164 | $3K | |
| 90620 | <1% | 281 | $3K | |
| 96160 | <1% | 1,529 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 33 | $1K |
| 99381 | <1% | 16 | $923.87 | |
| 90672 | <1% | 342 | $794.85 | |
| 99050 | <1% | 53 | $653.85 | |
| 90686 | <1% | 276 | $520.03 | |
| 99441 | <1% | 23 | $230.21 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 10,598 | $108.81 |
| 96161 | <1% | 1,544 | $29.16 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 4,315 | $13.11 |
| 90710 | 0% | 1,101 | $0.00 | |
| 90670 | 0% | 1,901 | $0.00 | |
| 90648 | 0% | 2,610 | $0.00 | |
| 90734 | 0% | 592 | $0.00 | |
| 90633 | 0% | 1,368 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 685 | $0.00 |
| 99401 | 0% | 889 | $0.00 | |
| 90700 | 0% | 129 | $0.00 | |
| 90715 | 0% | 80 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 77 | $0.00 |
| 90707 | 0% | 12 | $0.00 | |
| 99072 | 0% | 225 | $0.00 | |
| 99421 | 0% | 17 | $0.00 | |
| 90723 | 0% | 1,862 | $0.00 | |
| 97802 | 0% | 3,518 | $0.00 | |
| 90680 | 0% | 1,582 | $0.00 | |
| 90656 | 0% | 350 | $0.00 | |
| 90660 | 0% | 147 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 461 | $0.00 |
| 90696 | 0% | 180 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 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 officialSOHOSKI, MARY (FNP-BC/OWNER)