Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › HOUSTON › PEDIATRIX MEDICAL GROUP OF TEXAS BILLING, INC.

PEDIATRIX MEDICAL GROUP OF TEXAS BILLING, INC.

NPI: 1649377359 · HOUSTON, TX 77082 · Obstetrics & Gynecology Physician · NPI assigned 09/17/2006

$85.33M
Total Medicaid Paid
874,384
Total Claims
646,844
Beneficiaries
85
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDWYER, MICHAEL (ASSISTANT SECRETARY)
Parent OrganizationPEDIATRIX MEDICAL SERVICES INC
NPI Enumeration Date09/17/2006

Related Entities

Other providers sharing the same authorized official: DWYER, MICHAEL

ProviderCityStateTotal Paid
MAGELLA MEDICAL ASSOCIATES BILLING, INC. ROUND ROCK TX $69.16M
PEDIATRIX MEDICAL GROUP OF GEORGIA, P.C. SUNRISE FL $50.58M
OBSTETRIX MEDICAL GROUP OF TEXAS BILLING, INC. RICHARDSON TX $25.71M
OBSTETRICS AND PEDIATRICS SUBSPECIALTY GROUP OF KANSAS AND MISSOURI PA PHOENIX AZ $107K
TEXAS NEWBORN SERVICES, INC. RICHARDSON TX $56K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,667 $1.33M
2019 17,301 $1.42M
2020 56,290 $4.79M
2021 196,044 $17.98M
2022 222,631 $22.00M
2023 211,283 $21.24M
2024 154,168 $16.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 64,652 25,086 $23.86M
99460 153,288 150,820 $11.95M
99479 Subsequent intensive care, per day, very low birth weight infant 91,983 31,233 $11.54M
99480 Subsequent intensive care, per day, low birth weight infant 92,839 34,592 $10.85M
99238 Hospital discharge day management, 30 minutes or less 169,766 166,992 $10.19M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 12,715 3,508 $4.70M
99462 79,731 70,218 $3.04M
99232 Subsequent hospital care, per day, moderate complexity 34,861 5,038 $1.37M
99464 12,587 12,334 $1.04M
54150 13,409 13,112 $993K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,324 15,745 $857K
99468 755 741 $638K
99283 Emergency department visit for the evaluation and management, moderate severity 14,475 13,792 $574K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,755 7,183 $566K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,351 6,254 $499K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,127 12,814 $493K
99463 2,965 2,924 $316K
99239 Hospital discharge day management, more than 30 minutes 2,966 2,880 $239K
99284 Emergency department visit for the evaluation and management, high severity 3,125 2,973 $229K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,798 5,551 $164K
92650 1,873 1,766 $143K
90472 Immunization administration, each additional vaccine (list separately) 14,214 8,224 $139K
99222 Initial hospital care, per day, moderate complexity 1,312 1,262 $138K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 11,385 11,152 $121K
92586 1,661 1,650 $101K
99215 Prolong outpt/office vis 1,374 1,277 $99K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,132 1,116 $90K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,763 1,008 $82K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7,222 6,313 $58K
99223 Prolong inpt eval add15 m 418 383 $53K
96112 615 595 $48K
87428 722 705 $22K
90474 2,467 2,420 $21K
99254 138 135 $15K
99477 37 37 $14K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 699 667 $13K
92587 606 588 $9K
99233 Prolong inpt eval add15 m 144 97 $9K
99221 93 92 $6K
59025 Fetal non-stress test 288 274 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 439 423 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 398 383 $5K
59514 13 13 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 102 102 $4K
99281 Emergency department visit for the evaluation and management, self-limited or minor 191 186 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 138 135 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 68 68 $3K
99205 Prolong outpt/office vis 26 26 $2K
0071A 45 45 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 160 149 $2K
87430 408 399 $2K
0072A 29 29 $2K
87420 143 141 $2K
99217 26 26 $1K
87807 73 73 $747.64
99441 30 28 $692.04
88720 128 111 $635.32
99251 12 12 $577.24
99000 51 51 $545.18
92558 90 89 $479.07
92551 51 50 $433.53
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 93 93 $345.00
87400 27 26 $309.73
96380 12 12 $231.93
99417 Prolong home eval add 15m 15 15 $162.06
84030 53 53 $24.00
90677 1,312 1,297 $5.23
90686 2,190 2,168 $3.58
90697 524 521 $1.50
90670 4,081 4,018 $0.10
91307 104 87 $0.07
90648 1,482 1,468 $0.04
90723 3,117 3,065 $0.04
90681 1,051 1,030 $0.03
90680 1,402 1,388 $0.03
90633 1,647 1,613 $0.00
90707 542 530 $0.00
90700 145 145 $0.00
99080 79 64 $0.00
90710 13 13 $0.00
90647 2,390 2,343 $0.00
90716 559 544 $0.00
90378 158 129 $0.00
90656 107 107 $0.00
90696 25 25 $0.00