Clinic
Pediatric Kare Klinic PLLC
Pediatric Kare Klinic PLLC was paid $2.21M by Medicaid between Aug 2020 and Dec 2024, across 76 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 17% of everything it billed.
33Billing provider infoPEDIATRIC KARE KLINIC PLLC
FORNEY, TX 75126
FORNEY, TX 75126
33aNPI1609348580assigned 12/17/2018
33bProvider typePrimary Care Clinic/Center
28Total paid$2.21M
24GClaims112,339
24DCodes billed76
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Texas
Rank by total paid#5 of 180
Median peer was paid$25K
This provider vs. median88×
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 | |
|---|---|---|---|
| 2020 | 2,186 | $34K | |
| 2021 | 22,688 | $404K | |
| 2022 | 28,830 | $543K | |
| 2023 | 35,887 | $640K | |
| 2024incomplete | 22,748 | $585K |
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 | 17% | 7,707 | 6,943 | $369K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 9,477 | 8,453 | $320K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 3,664 | 3,602 | $276K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 3,847 | 3,622 | $272K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.0% | 18,244 | 8,250 | $198K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.3% | 1,737 | 1,707 | $139K |
| 99429 | 6.2% | 4,552 | 4,454 | $138K | |
| 99381 | 2.8% | 847 | 796 | $61K | |
| 99383 | 2.6% | 686 | 677 | $58K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.6% | 7,704 | 5,927 | $57K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 589 | 578 | $51K |
| 99382 | 2.0% | 519 | 508 | $44K |
64 more codes
| 92553 | 1.9% | 1,451 | $41K | |
| 99203 | Doctor's office visit, new patient (routine) | 1.1% | 439 | $24K |
| 90461 | <1% | 2,814 | $19K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 599 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,430 | $14K |
| 99384 | <1% | 151 | $14K | |
| 99000 | <1% | 1,449 | $13K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 146 | $11K |
| 99050 | <1% | 863 | $10K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 920 | $9K |
| 96127 | <1% | 2,121 | $9K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,234 | $8K |
| 94664 | <1% | 1,072 | $6K | |
| 83655 | <1% | 523 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 54 | $4K |
| 94760 | <1% | 6,981 | $4K | |
| 92552 | <1% | 507 | $3K | |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | <1% | 293 | $2K |
| 90480 | <1% | 73 | $2K | |
| 86580 | <1% | 247 | $1K | |
| 0111A | <1% | 32 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 78 | $779.92 |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 4,010 | $759.43 |
| 96160 | <1% | 2,583 | $684.55 | |
| 96381 | <1% | 41 | $656.52 | |
| 87807 | <1% | 84 | $592.17 | |
| 85018 | <1% | 371 | $561.70 | |
| 0112A | <1% | 15 | $521.86 | |
| 90677 | <1% | 948 | $512.22 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $488.92 |
| 99080 | <1% | 520 | $304.50 | |
| 81002 | <1% | 126 | $301.24 | |
| 90651 | <1% | 443 | $236.54 | |
| 96380 | <1% | 12 | $222.96 | |
| 90734 | <1% | 238 | $92.76 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $83.64 |
| 90700 | <1% | 621 | $21.00 | |
| 90686 | <1% | 1,004 | $19.31 | |
| 90697 | <1% | 1,748 | $8.62 | |
| 96161 | <1% | 688 | $2.33 | |
| 90381 | <1% | 107 | $0.64 | |
| 91311 | <1% | 87 | $0.57 | |
| 90687 | <1% | 585 | $0.33 | |
| 90688 | <1% | 349 | $0.28 | |
| 90672 | <1% | 94 | $0.20 | |
| 91321 | <1% | 62 | $0.13 | |
| 90380 | <1% | 27 | $0.10 | |
| 90715 | <1% | 80 | $0.04 | |
| 90670 | <1% | 2,299 | $0.04 | |
| 90680 | <1% | 2,153 | $0.04 | |
| 90744 | <1% | 461 | $0.04 | |
| 90710 | <1% | 1,270 | $0.03 | |
| 99173 | 0% | 2,618 | $0.00 | |
| 90633 | 0% | 1,679 | $0.00 | |
| 99072 | 0% | 542 | $0.00 | |
| 90648 | 0% | 409 | $0.00 | |
| 90658 | 0% | 263 | $0.00 | |
| 90707 | 0% | 41 | $0.00 | |
| 90656 | 0% | 83 | $0.00 | |
| 36416 | 0% | 1,555 | $0.00 | |
| 90696 | 0% | 336 | $0.00 | |
| 90698 | 0% | 661 | $0.00 | |
| 90716 | 0% | 30 | $0.00 | |
| 90660 | 0% | 22 | $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 officialHARWELL, DELORIS (PEDIATRIC NURSE PRACTITIONER)