Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Plano › NPI 1659846715
Physician

My Pediatrician PLLC

My Pediatrician PLLC was paid $1.11M by Medicaid between Jun 2020 and Dec 2024, across 45 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.

33Billing provider infoMY PEDIATRICIAN PLLC
PLANO, TX 75074
33aNPI1659846715assigned 10/04/2018
33bProvider typePediatrics Physician
28Total paid$1.11M
24GClaims46,355
24DCodes billed45
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#352 of 1,136
Median peer was paid$329K
This provider vs. median3.4×

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$20K$40K2018201920202021202220232024
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
20202,091$33K
202114,224$264K
202214,714$343K
20239,317$275K
2024incomplete6,009$196K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 35% 7,860 7,195 $385K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 6,507 5,817 $221K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11% 1,745 1,692 $123K
90460 Immunization administration through 18 years of age via any route, first or only component 6.6% 7,784 3,368 $74K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4.9% 1,330 1,289 $54K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.4% 852 803 $49K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.3% 598 597 $48K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3.9% 3,748 3,469 $44K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3.4% 3,476 1,594 $38K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.9% 2,758 1,710 $21K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.8% 239 237 $20K
92551 <1% 1,284 1,247 $11K
33 more codes
90461 <1% 2,279 $11K
99203 Doctor's office visit, new patient (routine) <1% 78 $3K
99381 <1% 45 $2K
87807 <1% 231 $2K
83655 <1% 151 $1K
99384 <1% 14 $996.12
99000 <1% 93 $864.00
99001 <1% 150 $745.20
99383 <1% 25 $733.04
99429 <1% 15 $512.40
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 13 $294.48
85018 <1% 102 $142.61
S8301 Infection control supplies, not otherwise specified <1% 99 $87.50
96160 <1% 53 $71.71
90686 <1% 583 $15.77
90619 <1% 42 $0.42
90671 <1% 13 $0.13
90734 <1% 26 $0.03
90670 <1% 818 $0.03
90633 <1% 365 $0.03
90716 <1% 204 $0.03
90651 <1% 58 $0.01
90707 0% 159 $0.00
99173 0% 771 $0.00
99072 0% 69 $0.00
90715 0% 13 $0.00
90656 0% 58 $0.00
36416 0% 241 $0.00
90698 0% 531 $0.00
90680 0% 432 $0.00
90744 0% 284 $0.00
96127 0% 146 $0.00
90696 0% 13 $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 officialBILAL, KIRAN (PEDIATRIIAN)