Physician
Childrens Clinic, P.A.
Childrens Clinic, P.A. was paid $1.00M by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoCHILDRENS CLINIC, P.A.
LOS ALAMOS, NM 87544
LOS ALAMOS, NM 87544
33aNPI1679793277assigned 04/26/2007
33bProvider typePediatrics Physician
28Total paid$1.00M
24GClaims24,930
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New Mexico
Rank by total paid#24 of 53
Median peer was paid$535K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2018 | 4,025 | $137K | |
| 2019 | 4,434 | $147K | |
| 2020 | 4,368 | $144K | |
| 2021 | 4,018 | $133K | |
| 2022 | 4,115 | $176K | |
| 2023 | 2,767 | $164K | |
| 2024incomplete | 1,203 | $103K |
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 | 39% | 6,419 | 6,165 | $390K |
| 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 | 37% | 4,106 | 3,929 | $368K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 3,365 | 2,994 | $107K |
| 92552 | 2.6% | 1,419 | 1,407 | $26K | |
| 99173 | 2.5% | 1,021 | 1,013 | $25K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 191 | 191 | $19K |
| 85013 | 1.5% | 2,465 | 2,452 | $15K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 465 | 462 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 73 | 73 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 380 | 373 | $6K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 144 | 144 | $5K |
| 81002 | <1% | 1,857 | 1,822 | $5K |
20 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 54 | $5K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 191 | $3K |
| 0072A | <1% | 70 | $3K | |
| 0071A | <1% | 73 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 104 | $2K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 69 | $2K |
| S9999 | Sales tax | <1% | 185 | $1K |
| 90461 | <1% | 22 | $1K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 27 | $889.96 |
| 0154A | <1% | 15 | $616.96 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 29 | $537.75 |
| 36416 | <1% | 449 | $492.72 | |
| 87807 | <1% | 38 | $443.92 | |
| 90686 | <1% | 1,458 | $270.28 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 37 | $41.62 |
| 91307 | <1% | 131 | $0.17 | |
| 90656 | <1% | 32 | $0.16 | |
| 90651 | <1% | 13 | $0.05 | |
| 91308 | 0% | 13 | $0.00 | |
| 91315 | 0% | 15 | $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 officialNICHOLS, MICHAEL (PRESIDENT)