Physician
Neonatology Consultnants of South Texas PLLC
Neonatology Consultnants of South Texas PLLC was paid $11.92M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 25% of everything it billed.
33Billing provider infoNEONATOLOGY CONSULTNANTS OF SOUTH TEXAS PLLC
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1700072964assigned 09/21/2007
33bProvider typeNeonatal-Perinatal Medicine Physician
28Total paid$11.92M
24GClaims96,945
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Neonatal-Perinatal Medicine Physician providers in Texas
Rank by total paid#2 of 37
Median peer was paid$139K
This provider vs. median86×
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 | 3,826 | $271K | |
| 2019 | 3,394 | $230K | |
| 2020 | 5,103 | $494K | |
| 2021 | 21,218 | $2.74M | |
| 2022 | 21,754 | $2.82M | |
| 2023 | 22,549 | $2.99M | |
| 2024incomplete | 19,101 | $2.37M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 25% | 8,959 | 1,840 | $3.03M |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 22% | 21,719 | 3,530 | $2.61M |
| 99238 | Hospital discharge day management, 30 minutes or less | 11% | 23,714 | 23,256 | $1.37M |
| 99460 | 10% | 16,050 | 15,826 | $1.22M | |
| 99468 | 8.5% | 1,270 | 1,227 | $1.01M | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 7.0% | 7,254 | 2,116 | $829K |
| 99464 | 5.0% | 6,908 | 6,791 | $591K | |
| 99477 | 4.2% | 1,398 | 1,348 | $495K | |
| 99222 | Initial hospital care, per day, moderate complexity | 2.6% | 3,031 | 3,001 | $306K |
| 99462 | 1.2% | 3,885 | 3,679 | $142K | |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 325 | 50 | $112K |
| 99478 | <1% | 650 | 130 | $80K |
4 more codes
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 officialMILANO, EMIL (ADMINISTRATOR MANAGER)