Physician
Kidsville Pediatrics PLLC
Kidsville Pediatrics PLLC was paid $3.26M by Medicaid between May 2021 and Dec 2024, across 87 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoKIDSVILLE PEDIATRICS PLLC
MANSFIELD, TX 76063
MANSFIELD, TX 76063
33aNPI1689264996assigned 01/20/2021
33bProvider typePediatrics Physician
28Total paid$3.26M
24GClaims135,143
24DCodes billed87
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#145 of 1,136
Median peer was paid$329K
This provider vs. median9.9×
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 | |
|---|---|---|---|
| 2021 | 3,617 | $64K | |
| 2022 | 24,397 | $502K | |
| 2023 | 46,424 | $1.18M | |
| 2024incomplete | 60,705 | $1.51M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 24% | 15,866 | 13,708 | $779K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 6,450 | 5,772 | $448K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.1% | 3,866 | 3,773 | $297K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.5% | 8,051 | 7,191 | $278K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.1% | 19,854 | 9,363 | $230K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.7% | 3,558 | 3,434 | $152K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.5% | 1,837 | 1,790 | $148K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.2% | 8,010 | 3,836 | $105K |
| 99383 | 2.9% | 1,152 | 1,123 | $95K | |
| 99381 | 2.6% | 1,395 | 1,338 | $84K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 819 | 798 | $72K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.1% | 8,636 | 7,929 | $68K |
75 more codes
| 99382 | 2.0% | 802 | $65K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.7% | 660 | $54K |
| 99384 | 1.5% | 568 | $50K | |
| 99429 | 1.5% | 1,899 | $49K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 3,599 | $47K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.1% | 248 | $35K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 530 | $30K |
| 87807 | <1% | 2,414 | $25K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 333 | $25K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 541 | $23K |
| 92551 | <1% | 2,892 | $22K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 917 | $17K |
| 90461 | <1% | 6,972 | $13K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 160 | $6K |
| 99401 | <1% | 1,558 | $6K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 505 | $6K |
| 99000 | <1% | 596 | $5K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 52 | $3K |
| 83655 | <1% | 281 | $3K | |
| 94760 | <1% | 3,085 | $2K | |
| 90836 | <1% | 26 | $2K | |
| 92552 | <1% | 103 | $2K | |
| 99442 | <1% | 158 | $2K | |
| 94010 | <1% | 82 | $2K | |
| 96160 | <1% | 1,402 | $1K | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 442 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 163 | $992.32 |
| 96136 | <1% | 51 | $848.64 | |
| 96137 | <1% | 51 | $748.88 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 25 | $637.84 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 49 | $605.00 |
| 90677 | <1% | 2,179 | $553.16 | |
| 85018 | <1% | 361 | $549.34 | |
| 69210 | <1% | 16 | $541.14 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 59 | $508.62 |
| 99050 | <1% | 32 | $403.92 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 13 | $383.24 |
| 90619 | <1% | 66 | $167.83 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 21 | $165.06 |
| 99080 | <1% | 58 | $50.00 | |
| 90697 | <1% | 1,620 | $29.96 | |
| 96161 | <1% | 523 | $18.11 | |
| 90688 | <1% | 252 | $18.07 | |
| 99072 | <1% | 567 | $15.00 | |
| J7626 | Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg | <1% | 14 | $12.12 |
| 90698 | <1% | 1,435 | $6.19 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 88 | $3.40 |
| 91307 | <1% | 28 | $0.22 | |
| 90670 | <1% | 1,952 | $0.05 | |
| 90656 | <1% | 222 | $0.03 | |
| 90661 | <1% | 14 | $0.01 | |
| 90696 | 0% | 382 | $0.00 | |
| 90680 | 0% | 2,758 | $0.00 | |
| 96127 | 0% | 258 | $0.00 | |
| 36416 | 0% | 404 | $0.00 | |
| 90686 | 0% | 636 | $0.00 | |
| 90723 | 0% | 64 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 236 | $0.00 |
| 90651 | 0% | 348 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 52 | $0.00 |
| 90716 | 0% | 220 | $0.00 | |
| 90744 | 0% | 307 | $0.00 | |
| 90620 | 0% | 17 | $0.00 | |
| 97802 | 0% | 136 | $0.00 | |
| 90707 | 0% | 228 | $0.00 | |
| 94664 | 0% | 616 | $0.00 | |
| 99173 | 0% | 3,426 | $0.00 | |
| 99051 | 0% | 34 | $0.00 | |
| 90710 | 0% | 1,083 | $0.00 | |
| 90734 | 0% | 306 | $0.00 | |
| 90700 | 0% | 609 | $0.00 | |
| 90633 | 0% | 1,780 | $0.00 | |
| 90715 | 0% | 295 | $0.00 | |
| 90648 | 0% | 732 | $0.00 | |
| 90681 | 0% | 38 | $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 officialSALMAN, TAREK (MANAGER)