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

First Step Pediatric Associates, P.A.

First Step Pediatric Associates, P.A. was paid $8.94M by Medicaid between Jan 2018 and Dec 2024, across 89 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.

33Billing provider infoFIRST STEP PEDIATRIC ASSOCIATES, P.A.
CLEBURNE, TX 76033
33aNPI1669793758assigned 06/13/2010
28Total paid$8.94M
24GClaims366,742
24DCodes billed89
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Primary Care Clinic/Center providers in Texas

Rank by total paid#1 of 180
Median peer was paid$25K
This provider vs. median355×

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$100K$200K$300K2018201920202021202220232024
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
2018901$19K
20191,533$32K
202018,003$396K
202191,249$2.14M
202299,076$2.28M
202386,268$2.19M
2024incomplete69,712$1.88M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 66,690 55,644 $2.34M
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 16% 28,063 25,733 $1.39M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8.5% 9,851 9,733 $764K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7.4% 8,799 8,632 $666K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6.3% 6,871 6,762 $564K
90460 Immunization administration through 18 years of age via any route, first or only component 5.8% 49,490 18,549 $518K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.3% 4,432 4,313 $386K
99429 3.7% 10,446 10,311 $333K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2.9% 6,650 6,381 $258K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.4% 16,491 15,614 $218K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.2% 11,613 7,303 $199K
99381 1.7% 2,452 2,367 $154K
77 more codes
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.1% 12,651 $101K
87428 1.0% 1,284 $89K
69210 <1% 2,217 $81K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,025 $79K
99442 <1% 2,085 $75K
90461 <1% 19,573 $70K
87807 <1% 5,639 $59K
17110 <1% 692 $58K
94010 <1% 2,009 $48K
99383 <1% 510 $44K
87634 <1% 765 $44K
92551 <1% 7,121 $42K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 1,046 $38K
99215 Doctor's office visit, returning patient (complex) <1% 477 $38K
99203 Doctor's office visit, new patient (routine) <1% 634 $35K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,371 $32K
99382 <1% 292 $25K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,668 $24K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 459 $22K
99000 <1% 1,866 $19K
88720 <1% 4,913 $17K
99050 <1% 1,058 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,307 $14K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 1,020 $13K
99384 <1% 114 $10K
99204 Doctor's office visit, new patient (more involved) <1% 90 $7K
96160 <1% 4,154 $7K
81002 <1% 2,448 $7K
82947 <1% 1,691 $5K
99441 <1% 209 $5K
85018 <1% 2,874 $5K
93000 <1% 275 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 77 $2K
92558 <1% 301 $2K
80061 Lipid panel <1% 172 $2K
86308 <1% 246 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 914 $876.27
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 27 $344.83
69209 <1% 27 $339.66
81025 <1% 50 $333.70
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 1,790 $242.57
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 16 $209.44
99406 <1% 1,253 $96.72
83655 <1% 14 $50.85
99072 <1% 3,279 $44.40
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram <1% 93 $23.94
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 22 $18.24
90677 <1% 1,508 $1.85
90662 <1% 161 $1.03
90661 <1% 38 $0.06
90620 <1% 514 $0.02
90686 <1% 2,805 $0.02
90716 <1% 3,243 $0.01
90656 <1% 177 $0.01
90707 <1% 3,251 $0.01
90670 <1% 5,507 $0.01
90715 <1% 1,304 $0.01
90696 0% 1,439 $0.00
90723 0% 5,142 $0.00
96127 0% 591 $0.00
90680 0% 3,872 $0.00
90651 0% 1,626 $0.00
90744 0% 12 $0.00
90381 0% 18 $0.00
90688 0% 40 $0.00
99173 0% 2,778 $0.00
90734 0% 1,936 $0.00
90700 0% 1,649 $0.00
99177 0% 4,326 $0.00
90633 0% 3,480 $0.00
90681 0% 609 $0.00
90648 0% 6,859 $0.00
90710 0% 62 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 0% 59 $0.00
90672 0% 44 $0.00
90713 0% 12 $0.00
90380 0% 14 $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 officialAROUSE, AYMAN (PEDIATRICIAN)