Agency
River Valley Pediatrics
River Valley Pediatrics was paid $2.96M by Medicaid between Aug 2019 and Dec 2024, across 47 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoRIVER VALLEY PEDIATRICS
NEW BRAUNTELS, TX 78130
NEW BRAUNTELS, TX 78130
33aNPI1598844805assigned 11/06/2006
33bProvider typeCase Management Agency
28Total paid$2.96M
24GClaims106,691
24DCodes billed47
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Texas
Rank by total paid#86 of 219
Median peer was paid$1.45M
This provider vs. median2.0×
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 | 31 | $903.60 | |
| 2020 | 5,110 | $122K | |
| 2021 | 26,828 | $700K | |
| 2022 | 28,783 | $775K | |
| 2023 | 26,658 | $780K | |
| 2024incomplete | 19,281 | $582K |
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 | 23% | 13,663 | 12,492 | $691K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 14,157 | 13,008 | $509K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 4,336 | 4,259 | $347K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 4,414 | 4,368 | $340K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 3,940 | 3,620 | $315K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.1% | 3,167 | 3,056 | $239K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.1% | 18,549 | 9,353 | $181K |
| 99374 | 2.5% | 1,290 | 1,269 | $74K | |
| 99429 | 2.4% | 2,126 | 2,108 | $72K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.0% | 401 | 382 | $31K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,899 | 2,775 | $29K |
| 99381 | <1% | 375 | 369 | $29K |
35 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 928 | $27K |
| 99383 | <1% | 278 | $24K | |
| 97169 | <1% | 511 | $12K | |
| 99382 | <1% | 100 | $9K | |
| 99375 | <1% | 86 | $8K | |
| 96160 | <1% | 2,321 | $5K | |
| 90461 | <1% | 2,630 | $5K | |
| 99384 | <1% | 40 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 42 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 42 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 29 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 99 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 32 | $737.22 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 103 | $727.73 |
| 87807 | <1% | 48 | $468.14 | |
| 81002 | <1% | 29 | $81.69 | |
| 90710 | <1% | 1,569 | $5.00 | |
| 90670 | <1% | 2,258 | $5.00 | |
| 90619 | <1% | 865 | $4.87 | |
| 90715 | <1% | 655 | $4.00 | |
| 90680 | <1% | 1,918 | $4.00 | |
| 90633 | <1% | 1,617 | $2.00 | |
| 90651 | <1% | 1,241 | $2.00 | |
| 85018 | <1% | 1,288 | $1.99 | |
| 90623 | <1% | 58 | $0.25 | |
| 90686 | <1% | 2,923 | $0.05 | |
| 90734 | 0% | 283 | $0.00 | |
| 90671 | 0% | 537 | $0.00 | |
| 99188 | 0% | 41 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 23 | $0.00 |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | 0% | 10,255 | $0.00 |
| 90698 | 0% | 1,056 | $0.00 | |
| 90697 | 0% | 1,592 | $0.00 | |
| 90696 | 0% | 594 | $0.00 | |
| 90744 | 0% | 283 | $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 officialSAHAGUN-CARREON, IVONNE (DOCTOR)