Houston Pediatric Specialty Group PLLC
Houston Pediatric Specialty Group PLLC was paid $710K by Medicaid between Jan 2020 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
HOUSTON, TX 77054
Next to other Pediatric Pulmonology Physician providers in Texas
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 1,044 | $64K | |
| 2021 | 4,137 | $238K | |
| 2022 | 2,568 | $161K | |
| 2023 | 2,544 | $153K | |
| 2024incomplete | 1,863 | $94K |
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 | 40% | 5,947 | 5,358 | $282K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 19% | 1,127 | 1,016 | $133K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 11% | 1,094 | 1,026 | $79K |
| 99243 | 6.0% | 543 | 513 | $43K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 919 | 804 | $26K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.4% | 493 | 455 | $24K |
| 54150 | 3.3% | 402 | 348 | $24K | |
| 54161 | 2.7% | 137 | 127 | $19K | |
| 99221 | 2.7% | 385 | 332 | $19K | |
| 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 | 2.4% | 195 | 186 | $17K |
| 99245 | 2.1% | 103 | 90 | $15K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.4% | 79 | 73 | $10K |
10 more codes
| 94375 | 1.3% | 354 | $10K | |
| 99205 | Prolong outpt/office vis | <1% | 42 | $5K |
| 99254 | <1% | 12 | $2K | |
| 94010 | <1% | 62 | $1K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 12 | $576.50 |
| 99251 | <1% | 12 | $483.21 | |
| 93320 | <1% | 12 | $143.12 | |
| 93325 | <1% | 12 | $49.98 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 133 | $0.00 |
| 99024 | 0% | 81 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.