Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Southwest South Texas Center for Pediatric Care

Southwest South Texas Center for Pediatric Care was paid $356K by Medicaid between Oct 2018 and Jun 2022, across 27 billing codes. Its largest line is 99394, Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) — 22% of everything it billed.

33Billing provider infoSOUTHWEST SOUTH TEXAS CENTER FOR PEDIATRIC CARE
SAN ANTONIO, TX 78202
33aNPI1659321677assigned 05/11/2006
33bProvider typePediatrics Physician
28Total paid$356K
24GClaims23,525
24DCodes billed27
24AFirst – last monthOct 2018 – Jun 2022
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#551 of 1,136
Median peer was paid$329K
This provider vs. median1.1×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
201836$282.24
2019113$774.36
20203,466$48K
202114,286$227K
20225,624$80K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 22% 904 897 $79K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 19% 880 878 $69K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 17% 754 752 $61K
90460 Immunization administration through 18 years of age via any route, first or only component 16% 7,121 3,012 $58K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12% 571 543 $42K
99429 4.7% 507 506 $17K
90461 3.9% 1,675 1,380 $14K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3.6% 1,595 1,298 $13K
96160 <1% 714 711 $2K
92551 <1% 2,741 2,729 $2K
99381 <1% 12 12 $975.24
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 13 13 $338.32
15 more codes
99173 <1% 2,718 $24.48
90686 <1% 1,124 $0.01
90716 0% 174 $0.00
90723 0% 280 $0.00
90651 0% 139 $0.00
90620 0% 52 $0.00
90670 0% 541 $0.00
90633 0% 122 $0.00
90648 0% 487 $0.00
90715 0% 15 $0.00
90734 0% 115 $0.00
90707 0% 198 $0.00
90681 0% 29 $0.00
90672 0% 20 $0.00
90700 0% 24 $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 officialDALUZ, LISA (CREDENTIALING MANAGER)
Same official

Other billing entities under DALUZ, LISA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.