Physician
Pediatrics of Southwest Houston
Pediatrics of Southwest Houston was paid $2.32M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
33Billing provider infoPEDIATRICS OF SOUTHWEST HOUSTON
HOUSTON, TX 77074
HOUSTON, TX 77074
33aNPI1659454999assigned 10/23/2006
33bProvider typePediatrics Physician
28Total paid$2.32M
24GClaims118,847
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#210 of 1,136
Median peer was paid$329K
This provider vs. median7.1×
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
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 | 385 | $17K | |
| 2019 | 626 | $9K | |
| 2020 | 6,120 | $92K | |
| 2021 | 31,237 | $552K | |
| 2022 | 31,300 | $626K | |
| 2023 | 26,941 | $518K | |
| 2024incomplete | 22,238 | $506K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 12,359 | 10,855 | $449K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 4,160 | 3,970 | $336K |
| 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 | 11% | 5,019 | 4,641 | $262K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 3,490 | 3,134 | $256K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.6% | 20,784 | 10,384 | $223K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.6% | 2,536 | 2,423 | $222K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 8.0% | 4,303 | 4,073 | $185K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.1% | 1,755 | 1,636 | $164K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.3% | 2,017 | 1,824 | $53K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 3,228 | 2,979 | $43K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 3,358 | 2,047 | $25K |
| 92551 | <1% | 7,038 | 6,640 | $19K |
47 more codes
| 90461 | <1% | 4,102 | $17K | |
| 90661 | <1% | 583 | $13K | |
| 99000 | <1% | 813 | $9K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,133 | $8K |
| 99381 | <1% | 124 | $7K | |
| 0071A | <1% | 136 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 332 | $4K |
| 0072A | <1% | 116 | $4K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 278 | $4K |
| 87807 | <1% | 244 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 117 | $2K |
| 81000 | <1% | 453 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 61 | $1K |
| 96160 | <1% | 1,254 | $1K | |
| 81002 | <1% | 375 | $1K | |
| 0002A | <1% | 14 | $560.00 | |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 264 | $303.60 |
| 94760 | <1% | 365 | $224.26 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 264 | $91.08 |
| 90686 | <1% | 4,348 | $60.22 | |
| 99072 | <1% | 17 | $37.50 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 263 | $28.78 |
| 90688 | <1% | 17 | $16.80 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 2,331 | $1.82 |
| 90677 | <1% | 468 | $1.03 | |
| 91307 | <1% | 315 | $0.22 | |
| 90697 | <1% | 77 | $0.12 | |
| 90670 | <1% | 1,695 | $0.12 | |
| 90651 | <1% | 137 | $0.07 | |
| 90698 | <1% | 1,392 | $0.06 | |
| 90619 | <1% | 69 | $0.03 | |
| 90744 | <1% | 227 | $0.01 | |
| G9459 | Currently a tobacco non-user | 0% | 1,646 | $0.00 |
| 1031F | 0% | 13,751 | $0.00 | |
| 90680 | 0% | 1,101 | $0.00 | |
| 90696 | 0% | 44 | $0.00 | |
| 96127 | 0% | 841 | $0.00 | |
| 90716 | 0% | 89 | $0.00 | |
| 90620 | 0% | 12 | $0.00 | |
| 3725F | 0% | 1,881 | $0.00 | |
| 3210F | 0% | 192 | $0.00 | |
| 90633 | 0% | 878 | $0.00 | |
| 99173 | 0% | 5,671 | $0.00 | |
| 90710 | 0% | 139 | $0.00 | |
| 90707 | 0% | 71 | $0.00 | |
| 91300 | 0% | 51 | $0.00 | |
| 90734 | 0% | 49 | $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 officialGOLDBERG, JACOBO (PRESIDENT)