Physician
Abc Pediatrics, P.A.
Abc Pediatrics, P.A. was paid $1.03M by Medicaid between Oct 2020 and Dec 2024, across 35 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 20% of everything it billed.
33Billing provider infoABC PEDIATRICS, P.A.
CORPUS CHRISTI, TX 78411
CORPUS CHRISTI, TX 78411
33aNPI1710034962assigned 01/03/2007
33bProvider typePediatrics Physician
28Total paid$1.03M
24GClaims74,499
24DCodes billed35
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#367 of 1,136
Median peer was paid$329K
This provider vs. median3.1×
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 | 1,730 | $21K | |
| 2021 | 21,425 | $311K | |
| 2022 | 22,827 | $339K | |
| 2023 | 16,647 | $247K | |
| 2024incomplete | 11,870 | $113K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 20% | 19,143 | 8,702 | $211K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 20% | 2,523 | 2,444 | $208K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 2,122 | 1,844 | $165K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 17,245 | 15,260 | $110K |
| 87428 | 9.3% | 1,392 | 1,300 | $96K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.9% | 827 | 802 | $71K |
| 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 | 5.4% | 5,656 | 5,065 | $55K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.0% | 750 | 717 | $31K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 237 | 232 | $23K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.0% | 2,820 | 1,771 | $21K |
| 90461 | 1.5% | 3,262 | 2,749 | $15K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 317 | 304 | $13K |
23 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,367 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 215 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 333 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 899 | $2K |
| 92551 | <1% | 3,190 | $569.02 | |
| S8301 | Infection control supplies, not otherwise specified | <1% | 175 | $540.37 |
| 99051 | <1% | 142 | $416.73 | |
| 96160 | <1% | 165 | $286.30 | |
| 87807 | <1% | 66 | $108.90 | |
| 92567 | <1% | 12 | $29.64 | |
| 90686 | <1% | 3,319 | $20.26 | |
| 99173 | 0% | 3,238 | $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% | 2,073 | $0.00 |
| 90670 | 0% | 811 | $0.00 | |
| 90633 | 0% | 72 | $0.00 | |
| 90671 | 0% | 70 | $0.00 | |
| 99177 | 0% | 30 | $0.00 | |
| 90698 | 0% | 987 | $0.00 | |
| 90744 | 0% | 76 | $0.00 | |
| 90656 | 0% | 370 | $0.00 | |
| 90680 | 0% | 284 | $0.00 | |
| 96127 | 0% | 299 | $0.00 | |
| 90651 | 0% | 12 | $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 officialROSALEZ, VENESA (BUSINESS FINANCIAL MANAGER)