Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › PHARR › EDINBURG PEDIATRIC NETWORK LLC

EDINBURG PEDIATRIC NETWORK LLC

NPI: 1669708780 · PHARR, TX 78577 · General Practice Physician · NPI assigned 10/23/2009

$37.30M
Total Medicaid Paid
1,698,831
Total Claims
1,396,955
Beneficiaries
108
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGARCIA, MILDRED (SUPERVISOR)
NPI Enumeration Date10/23/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,405 $166K
2019 6,149 $179K
2020 85,653 $1.99M
2021 387,271 $8.65M
2022 532,192 $11.45M
2023 429,561 $9.47M
2024 252,600 $5.40M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 323,421 277,242 $9.26M
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 156,497 144,812 $6.27M
S8301 Infection control supplies, not otherwise specified 178,055 156,623 $5.18M
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 246,491 115,806 $2.26M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 25,782 25,325 $2.02M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 21,801 21,238 $1.76M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 22,583 22,002 $1.68M
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 137,036 128,567 $1.27M
90460 Immunization administration through 18 years of age via any route, first or only component 105,369 51,442 $1.10M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12,405 12,090 $902K
99050 13,550 13,215 $823K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,460 22,721 $814K
99429 16,474 16,184 $533K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 74,378 69,327 $326K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,193 3,110 $247K
87807 30,909 28,878 $226K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,911 4,453 $221K
96110 Developmental screening, with scoring and documentation, per standardized instrument 27,189 21,256 $216K
99381 2,552 2,481 $196K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,189 4,078 $181K
87428 3,981 3,831 $154K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,612 7,328 $142K
97803 6,018 5,664 $117K
99000 15,639 14,767 $114K
90461 15,506 12,566 $109K
97802 2,797 2,629 $99K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2,396 2,132 $90K
87301 10,710 10,252 $69K
84443 Thyroid stimulating hormone (TSH) 6,949 6,720 $69K
0001A 1,752 1,727 $68K
0002A 1,645 1,635 $64K
84481 6,097 5,880 $58K
83525 8,136 7,881 $55K
0071A 1,548 1,290 $51K
80061 Lipid panel 6,245 6,061 $47K
96161 21,985 21,638 $44K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,899 3,696 $41K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,601 3,299 $37K
0072A 870 864 $34K
99051 8,036 7,816 $34K
84439 6,186 5,969 $32K
80053 Comprehensive metabolic panel 5,224 5,061 $31K
87631 397 367 $28K
83036 Hemoglobin; glycosylated (A1C) 4,264 4,124 $24K
81003 13,926 13,223 $18K
80050 General health panel 674 654 $17K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 188 184 $15K
S9470 Nutritional counseling, dietitian visit 359 344 $14K
86328 570 542 $13K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 35 35 $13K
86318 1,072 1,058 $13K
86580 1,684 1,651 $12K
84436 1,954 1,898 $9K
99383 101 101 $9K
87581 420 403 $8K
84479 1,856 1,804 $8K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 854 801 $8K
97170 120 120 $6K
0004A 174 146 $6K
78268 103 85 $5K
81025 664 623 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 147 91 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 164 158 $2K
0012A 75 73 $2K
CP002 202 169 $2K
90651 4,335 4,250 $2K
90686 19,402 19,154 $2K
82948 395 375 $1K
87486 35 35 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 96 92 $903.68
87425 118 113 $764.56
0073A 18 18 $720.00
0011A 66 64 $691.30
0003A 16 16 $640.00
78267 103 85 $575.98
87634 18 15 $524.08
90734 4,658 4,570 $450.71
97169 17 16 $387.60
90656 1,773 1,767 $244.65
90670 7,470 7,369 $216.82
86308 38 37 $108.75
93000 12 12 $104.58
90715 1,744 1,719 $93.08
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 13 $85.73
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 861 806 $78.05
94760 740 686 $50.16
96160 9,157 8,999 $20.48
90620 2,556 2,523 $1.59
90677 892 880 $1.48
90671 927 917 $0.98
91301 191 178 $0.06
91300 3,938 3,651 $0.04
90723 2,597 2,567 $0.00
D1208 Topical application of fluoride, excluding varnish 2,901 2,828 $0.00
91307 2,619 2,236 $0.00
90680 5,006 4,953 $0.00
90698 576 566 $0.00
90697 864 857 $0.00
90696 1,299 1,282 $0.00
36415 Collection of venous blood by venipuncture 173 164 $0.00
90657 42 42 $0.00
90688 26 26 $0.00
90619 13 12 $0.00
90648 5,291 5,224 $0.00
90633 4,503 4,440 $0.00
90710 4,085 4,032 $0.00
90700 1,133 1,124 $0.00
91308 34 32 $0.00