Physician
Hummingbird Pediatrics PLLC
Hummingbird Pediatrics PLLC was paid $6.36M by Medicaid between Jan 2019 and Dec 2024, across 80 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 12% of everything it billed.
33Billing provider infoHUMMINGBIRD PEDIATRICS PLLC
BAYTOWN, TX 77520
BAYTOWN, TX 77520
33aNPI1659889558assigned 01/14/2018
33bProvider typePediatrics Physician
28Total paid$6.36M
24GClaims297,048
24DCodes billed80
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#60 of 1,136
Median peer was paid$329K
This provider vs. median19×
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 | |
|---|---|---|---|
| 2019 | 308 | $7K | |
| 2020 | 16,330 | $246K | |
| 2021 | 68,563 | $1.32M | |
| 2022 | 72,026 | $1.55M | |
| 2023 | 73,941 | $1.63M | |
| 2024incomplete | 65,880 | $1.60M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 9,192 | 9,068 | $767K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 20,150 | 18,420 | $748K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.9% | 7,961 | 7,409 | $628K |
| 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 | 9.5% | 11,325 | 10,658 | $605K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.5% | 6,106 | 6,015 | $539K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 8.2% | 6,498 | 6,232 | $520K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.7% | 39,558 | 16,895 | $423K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.9% | 3,897 | 3,848 | $374K |
| 87634 | 3.6% | 3,895 | 3,714 | $228K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.4% | 5,634 | 5,391 | $219K |
| 99429 | 2.3% | 5,106 | 4,936 | $149K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.3% | 20,768 | 16,977 | $148K |
68 more codes
| 99381 | 2.2% | 1,782 | $139K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.8% | 2,259 | $116K |
| 99383 | 1.7% | 1,132 | $107K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 4,055 | $103K |
| 97802 | 1.3% | 7,407 | $82K | |
| 99382 | 1.1% | 763 | $71K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 4,895 | $69K |
| 99384 | <1% | 512 | $51K | |
| 90461 | <1% | 9,721 | $47K | |
| S9470 | Nutritional counseling, dietitian visit | <1% | 1,295 | $44K |
| 69210 | <1% | 957 | $35K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,301 | $21K |
| 99000 | <1% | 1,786 | $20K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 186 | $17K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 255 | $15K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,406 | $13K |
| 96160 | <1% | 19,769 | $8K | |
| 17250 | <1% | 89 | $6K | |
| 0001A | <1% | 161 | $6K | |
| S8301 | Infection control supplies, not otherwise specified | <1% | 2,197 | $6K |
| 17110 | <1% | 57 | $5K | |
| 96161 | <1% | 20,490 | $5K | |
| 0002A | <1% | 97 | $4K | |
| 83655 | <1% | 375 | $4K | |
| 0071A | <1% | 54 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 180 | $2K |
| 99072 | <1% | 4,756 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 28 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 47 | $2K |
| 96380 | <1% | 92 | $1K | |
| 0072A | <1% | 23 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 59 | $705.45 |
| 90671 | <1% | 1,789 | $663.54 | |
| 94760 | <1% | 2,391 | $389.52 | |
| 92551 | <1% | 47 | $343.70 | |
| 97169 | <1% | 12 | $327.00 | |
| 90670 | <1% | 4,873 | $222.46 | |
| 86580 | <1% | 33 | $185.73 | |
| 90619 | <1% | 1,079 | $167.88 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 6,570 | $105.14 |
| 90686 | <1% | 5,047 | $58.80 | |
| 90661 | <1% | 305 | $28.22 | |
| 87802 | <1% | 76 | $11.76 | |
| 90651 | <1% | 2,070 | $0.75 | |
| 90697 | <1% | 1,362 | $0.54 | |
| 90620 | <1% | 279 | $0.22 | |
| 90621 | <1% | 179 | $0.19 | |
| 90734 | <1% | 821 | $0.07 | |
| 90715 | <1% | 1,181 | $0.04 | |
| 90696 | <1% | 1,484 | $0.03 | |
| 91300 | <1% | 94 | $0.03 | |
| 90710 | <1% | 2,027 | $0.03 | |
| 90680 | <1% | 4,383 | $0.02 | |
| 90380 | <1% | 44 | $0.02 | |
| 90723 | <1% | 2,352 | $0.01 | |
| 90648 | <1% | 3,534 | $0.01 | |
| 90716 | 0% | 1,354 | $0.00 | |
| 96127 | 0% | 4,582 | $0.00 | |
| 90698 | 0% | 1,673 | $0.00 | |
| 90381 | 0% | 26 | $0.00 | |
| 99452 | 0% | 177 | $0.00 | |
| 90744 | 0% | 77 | $0.00 | |
| 90700 | 0% | 1,355 | $0.00 | |
| 90633 | 0% | 3,896 | $0.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 67 | $0.00 |
| 90707 | 0% | 1,359 | $0.00 | |
| 99173 | 0% | 11,155 | $0.00 | |
| 90713 | 0% | 19 | $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 officialPENMETSA, SUSHMA (OWNER)