Behavioral
Pediatric Urgent Care PA
Pediatric Urgent Care PA was paid $25.28M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is S9083, Global fee urgent care centers — 36% of everything it billed.
33Billing provider infoPEDIATRIC URGENT CARE PA
THE WOODLANDS, TX 77380
THE WOODLANDS, TX 77380
33aNPI1598059776assigned 06/05/2011
33bProvider typeClinical Social Worker
28Total paid$25.28M
24GClaims536,069
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Texas
Rank by total paid#1 of 195
Median peer was paid$58K
This provider vs. median437×
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 | 1,863 | $59K | |
| 2019 | 157 | $2K | |
| 2020 | 48,316 | $1.51M | |
| 2021 | 149,203 | $5.62M | |
| 2022 | 155,562 | $7.16M | |
| 2023 | 111,357 | $6.64M | |
| 2024incomplete | 69,611 | $4.28M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9083 | Global fee urgent care centers | 36% | 97,915 | 84,867 | $9.11M |
| 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 | 24% | 69,803 | 65,421 | $6.01M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 36,699 | 34,331 | $2.71M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.7% | 31,161 | 30,302 | $2.20M |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 8.4% | 83,762 | 74,563 | $2.12M |
| 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 | 6.6% | 17,270 | 16,888 | $1.67M |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.1% | 65,245 | 62,210 | $532K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 50,293 | 24,084 | $411K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.1% | 50,721 | 45,453 | $285K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 4,630 | 4,464 | $108K |
| 99384 | <1% | 1,160 | 1,154 | $40K | |
| 99000 | <1% | 5,968 | 5,780 | $33K |
22 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 601 | $13K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 408 | $7K |
| 87807 | <1% | 1,818 | $7K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 1,055 | $4K |
| 81002 | <1% | 1,065 | $1K | |
| 99072 | <1% | 5,510 | $702.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,446 | $334.00 |
| 73610 | <1% | 13 | $270.27 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 1,955 | $234.50 |
| 99401 | <1% | 277 | $73.53 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 65 | $71.12 |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | <1% | 509 | $49.00 |
| 96136 | <1% | 202 | $38.59 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 116 | $18.00 |
| 96160 | <1% | 152 | $9.00 | |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 138 | $2.94 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 38 | $0.55 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,054 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 28 | $0.00 |
| 99201 | 0% | 19 | $0.00 | |
| 96127 | 0% | 1,911 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 2,062 | $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 officialWHITE, BRIAN (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Mercury Healthcare Management, INC. | Arlington, TX | $37K |
| Pediatric Care for Kids, PA | Aventura, FL | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.