Physician
Bottenfield Pediatric Associates, PLLC
Bottenfield Pediatric Associates, PLLC was paid $5.04M by Medicaid between Nov 2019 and Dec 2024, across 55 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoBOTTENFIELD PEDIATRIC ASSOCIATES, PLLC
LAKE JACKSON, TX 77566
LAKE JACKSON, TX 77566
33aNPI1710540513assigned 04/17/2019
33bProvider typePediatrics Physician
28Total paid$5.04M
24GClaims174,937
24DCodes billed55
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#81 of 1,136
Median peer was paid$329K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2019 | 51 | $1K | |
| 2020 | 5,892 | $153K | |
| 2021 | 40,047 | $1.12M | |
| 2022 | 47,650 | $1.35M | |
| 2023 | 44,870 | $1.37M | |
| 2024incomplete | 36,427 | $1.05M |
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 | 28% | 26,808 | 24,427 | $1.40M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 29,629 | 26,654 | $1.12M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.1% | 5,558 | 5,463 | $460K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.5% | 4,233 | 4,191 | $376K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.2% | 4,473 | 4,364 | $363K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.8% | 3,100 | 3,056 | $294K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.7% | 25,336 | 10,688 | $288K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.1% | 3,593 | 3,491 | $157K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 2.2% | 799 | 770 | $110K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 7,046 | 3,370 | $87K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 6,559 | 6,221 | $86K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 1.5% | 1,331 | 1,222 | $76K |
43 more codes
| 92081 | <1% | 2,983 | $40K | |
| 99381 | <1% | 468 | $39K | |
| 90461 | <1% | 7,927 | $39K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,538 | $29K |
| 83655 | <1% | 1,345 | $12K | |
| 87999 | <1% | 3,990 | $12K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 186 | $9K |
| 87807 | <1% | 600 | $6K | |
| 92552 | <1% | 2,981 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 337 | $5K |
| 96160 | <1% | 2,018 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 42 | $3K |
| 99384 | <1% | 27 | $3K | |
| 99383 | <1% | 26 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 173 | $2K |
| 81002 | <1% | 640 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $1K |
| 99382 | <1% | 12 | $1K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 108 | $1K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 55 | $751.39 |
| 90677 | <1% | 961 | $256.10 | |
| 99072 | <1% | 1,351 | $217.50 | |
| 88738 | <1% | 1,236 | $169.83 | |
| 90686 | <1% | 1,201 | $59.48 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 92 | $0.49 |
| 90651 | <1% | 1,179 | $0.39 | |
| 90734 | <1% | 1,311 | $0.10 | |
| 90620 | <1% | 99 | $0.09 | |
| 90681 | <1% | 1,775 | $0.03 | |
| 90647 | <1% | 3,194 | $0.03 | |
| 90696 | <1% | 747 | $0.02 | |
| 90670 | <1% | 3,261 | $0.01 | |
| 90658 | <1% | 150 | $0.01 | |
| 90710 | 0% | 2,286 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 2,482 | $0.00 |
| 90715 | 0% | 709 | $0.00 | |
| 90633 | 0% | 2,458 | $0.00 | |
| 90700 | 0% | 754 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 312 | $0.00 |
| 94664 | 0% | 26 | $0.00 | |
| 90723 | 0% | 3,242 | $0.00 | |
| 96161 | 0% | 45 | $0.00 | |
| 96127 | 0% | 132 | $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 officialBOTTENFIELD, GERALD (OWNER)