Physician
Northside Pediatrics Associates, PA
Northside Pediatrics Associates, PA was paid $1.42M by Medicaid between May 2020 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoNORTHSIDE PEDIATRICS ASSOCIATES, PA
CONROE, TX 77384
CONROE, TX 77384
33aNPI1669928883assigned 08/28/2016
33bProvider typePediatrics Physician
28Total paid$1.42M
24GClaims73,634
24DCodes billed46
24AFirst – last monthMay 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#305 of 1,136
Median peer was paid$329K
This provider vs. median4.3×
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 | |
|---|---|---|---|
| 2020 | 2,624 | $49K | |
| 2021 | 18,092 | $310K | |
| 2022 | 21,670 | $359K | |
| 2023 | 18,496 | $403K | |
| 2024incomplete | 12,752 | $304K |
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 | 27% | 10,555 | 8,940 | $382K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 19% | 3,356 | 3,238 | $265K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 2,754 | 2,640 | $205K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 14,193 | 5,473 | $157K |
| 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 | 7.9% | 2,209 | 1,948 | $112K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 1,114 | 1,085 | $95K |
| 99381 | 2.5% | 526 | 502 | $36K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.3% | 3,978 | 2,690 | $32K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 344 | 335 | $20K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 1,218 | 1,154 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 1,201 | 814 | $16K |
| 90461 | 1.1% | 3,693 | 3,166 | $16K |
34 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 154 | $14K |
| 92558 | <1% | 3,066 | $12K | |
| 99000 | <1% | 1,186 | $11K | |
| 99383 | <1% | 83 | $7K | |
| 90671 | <1% | 968 | $7K | |
| 99382 | <1% | 86 | $7K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 102 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 379 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 24 | $2K |
| 87807 | <1% | 171 | $2K | |
| 96160 | <1% | 344 | $612.35 | |
| 90686 | <1% | 1,114 | $179.55 | |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | <1% | 108 | $0.09 |
| 90681 | <1% | 881 | $0.07 | |
| 90670 | <1% | 1,430 | $0.01 | |
| 90648 | <1% | 2,255 | $0.01 | |
| 90633 | <1% | 1,399 | $0.01 | |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | 0% | 25 | $0.00 |
| 90707 | 0% | 502 | $0.00 | |
| 1033F | 0% | 7,548 | $0.00 | |
| 90700 | 0% | 437 | $0.00 | |
| 99177 | 0% | 2,767 | $0.00 | |
| 1032F | 0% | 349 | $0.00 | |
| 90710 | 0% | 180 | $0.00 | |
| 90734 | 0% | 29 | $0.00 | |
| 90723 | 0% | 1,728 | $0.00 | |
| 90680 | 0% | 293 | $0.00 | |
| 90651 | 0% | 35 | $0.00 | |
| 90716 | 0% | 485 | $0.00 | |
| 90696 | 0% | 173 | $0.00 | |
| 90698 | 0% | 118 | $0.00 | |
| 96161 | 0% | 37 | $0.00 | |
| 90744 | 0% | 14 | $0.00 | |
| 90656 | 0% | 23 | $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 officialOKOGBO, MICHAEL (OWNER)