Physician
Pediatrix Medical Group of Texas Billing, INC.
Pediatrix Medical Group of Texas Billing, INC. was paid $85.33M by Medicaid between Jan 2018 and Dec 2024, across 85 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 28% of everything it billed.
33Billing provider infoPEDIATRIX MEDICAL GROUP OF TEXAS BILLING, INC.
HOUSTON, TX 77082
HOUSTON, TX 77082
33aNPI1649377359assigned 09/17/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$85.33M
24GClaims874,384
24DCodes billed85
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Texas
Rank by total paid#1 of 432
Median peer was paid$103K
This provider vs. median827×
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 | 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 | |
| 2024incomplete | 154,168 | $16.57M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 28% | 64,652 | 25,086 | $23.86M |
| 99460 | 14% | 153,288 | 150,820 | $11.95M | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 14% | 91,983 | 31,233 | $11.54M |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 13% | 92,839 | 34,592 | $10.85M |
| 99238 | Hospital discharge day management, 30 minutes or less | 12% | 169,766 | 166,992 | $10.19M |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 5.5% | 12,715 | 3,508 | $4.70M |
| 99462 | 3.6% | 79,731 | 70,218 | $3.04M | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.6% | 34,861 | 5,038 | $1.37M |
| 99464 | 1.2% | 12,587 | 12,334 | $1.04M | |
| 54150 | 1.2% | 13,409 | 13,112 | $993K | |
| 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 | 1.0% | 17,324 | 15,745 | $857K |
| 99468 | <1% | 755 | 741 | $638K |
73 more codes
| 99283 | Emergency room visit (moderate) | <1% | 14,475 | $574K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 7,755 | $566K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 6,351 | $499K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 14,127 | $493K |
| 99463 | <1% | 2,965 | $316K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 2,966 | $239K |
| 99284 | Emergency room visit (serious) | <1% | 3,125 | $229K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 5,798 | $164K |
| 92650 | <1% | 1,873 | $143K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 14,214 | $139K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,312 | $138K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 11,385 | $121K |
| 92586 | <1% | 1,661 | $101K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,374 | $99K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,132 | $90K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 2,763 | $82K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 7,222 | $58K |
| 99223 | Prolong inpt eval add15 m | <1% | 418 | $53K |
| 96112 | <1% | 615 | $48K | |
| 87428 | <1% | 722 | $22K | |
| 90474 | <1% | 2,467 | $21K | |
| 99254 | <1% | 138 | $15K | |
| 99477 | <1% | 37 | $14K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 699 | $13K |
| 92587 | <1% | 606 | $9K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 144 | $9K |
| 99221 | <1% | 93 | $6K | |
| 59025 | Fetal non-stress test | <1% | 288 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 439 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 398 | $5K |
| 59514 | <1% | 13 | $5K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 102 | $4K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 191 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 138 | $3K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 68 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 26 | $2K |
| 0071A | <1% | 45 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 160 | $2K |
| 87430 | <1% | 408 | $2K | |
| 0072A | <1% | 29 | $2K | |
| 87420 | <1% | 143 | $2K | |
| 99217 | <1% | 26 | $1K | |
| 87807 | <1% | 73 | $747.64 | |
| 99441 | <1% | 30 | $692.04 | |
| 88720 | <1% | 128 | $635.32 | |
| 99251 | <1% | 12 | $577.24 | |
| 99000 | <1% | 51 | $545.18 | |
| 92558 | <1% | 90 | $479.07 | |
| 92551 | <1% | 51 | $433.53 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 93 | $345.00 |
| 87400 | <1% | 27 | $309.73 | |
| 96380 | <1% | 12 | $231.93 | |
| 99417 | Prolong home eval add 15m | <1% | 15 | $162.06 |
| 84030 | <1% | 53 | $24.00 | |
| 90677 | <1% | 1,312 | $5.23 | |
| 90686 | <1% | 2,190 | $3.58 | |
| 90697 | <1% | 524 | $1.50 | |
| 90670 | <1% | 4,081 | $0.10 | |
| 91307 | <1% | 104 | $0.07 | |
| 90648 | <1% | 1,482 | $0.04 | |
| 90723 | <1% | 3,117 | $0.04 | |
| 90681 | <1% | 1,051 | $0.03 | |
| 90680 | <1% | 1,402 | $0.03 | |
| 90633 | 0% | 1,647 | $0.00 | |
| 90707 | 0% | 542 | $0.00 | |
| 90700 | 0% | 145 | $0.00 | |
| 99080 | 0% | 79 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| 90647 | 0% | 2,390 | $0.00 | |
| 90716 | 0% | 559 | $0.00 | |
| 90378 | 0% | 158 | $0.00 | |
| 90656 | 0% | 107 | $0.00 | |
| 90696 | 0% | 25 | $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 officialDWYER, MICHAEL (ASSISTANT SECRETARY)
Parent organizationPEDIATRIX MEDICAL SERVICES INC
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.