Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHILDREN'S HEALTH SYSTEM OF TEXAS

NPI: 1720480627 · PLANO, TX 75024 · Ambulatory Surgical Clinic/Center · NPI assigned 09/23/2014

$65.83M
Total Medicaid Paid
218,219
Total Claims
210,581
Beneficiaries
115
Codes Billed
2019-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFRIES, ROBERT (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date09/23/2014

Related Entities

Other providers sharing the same authorized official: FRIES, ROBERT

ProviderCityStateTotal Paid
CHILDREN'S HEALTH SYSTEM OF TEXAS DALLAS TX $263.77M
CHILDREN'S HEALTH SYSTEM OF TEXAS DALLAS TX $1.51M
PEDIATRIC IMAGING ASSOCIATES LLC PLANO TX $1.21M
CHILDREN'S HEALTH SYSTEM OF TEXAS DALLAS TX $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 95 $25K
2020 7,266 $1.50M
2021 52,754 $16.40M
2022 66,333 $17.28M
2023 57,005 $18.44M
2024 34,766 $12.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 49,022 48,190 $22.69M
99284 Emergency department visit for the evaluation and management, high severity 13,270 13,047 $11.96M
95782 1,809 1,776 $6.50M
95810 Polysomnography; sleep staging with 4 or more additional parameters 2,336 2,296 $5.83M
99282 Emergency department visit for the evaluation and management, low to moderate severity 16,270 16,051 $4.26M
42820 Tonsillectomy and adenoidectomy; younger than age 12 543 541 $1.71M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,076 1,065 $1.58M
41899 Unlisted procedure, dentoalveolar structures 898 882 $1.22M
0202U Oncology (prostate), multianalyte, gene expression profiling 23,164 22,849 $1.22M
67311 418 404 $1.13M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,378 1,334 $1.13M
71046 Radiologic examination, chest; 2 views 4,275 4,221 $648K
87086 Culture, bacterial; quantitative colony count, urine 7,692 7,598 $455K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,177 2,136 $396K
90853 Group psychotherapy (other than of a multiple-family group) 1,207 118 $355K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,429 2,406 $308K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,082 4,883 $293K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 3,668 3,612 $271K
80053 Comprehensive metabolic panel 3,930 3,817 $265K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,304 4,206 $260K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 349 347 $232K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,469 1,407 $224K
87428 2,880 2,859 $219K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,363 4,312 $218K
87070 3,425 3,381 $208K
74018 1,056 1,031 $143K
97803 2,147 2,044 $141K
J3010 Injection, fentanyl citrate, 0.1 mg 3,924 3,761 $130K
95811 41 41 $129K
76705 Ultrasound, abdominal, real time with image documentation; limited 434 415 $99K
97802 829 824 $94K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,551 3,443 $85K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,736 3,511 $82K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,383 2,296 $82K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 25 25 $74K
95812 64 64 $65K
84443 Thyroid stimulating hormone (TSH) 768 742 $63K
85027 1,384 1,139 $63K
86140 1,903 1,814 $55K
87040 779 749 $55K
71045 Radiologic examination, chest; single view 287 285 $52K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,003 989 $50K
74019 243 240 $48K
81001 1,662 1,641 $48K
83036 Hemoglobin; glycosylated (A1C) 1,244 1,227 $44K
96156 173 172 $40K
81003 2,146 2,103 $40K
84439 1,026 998 $40K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,811 1,725 $39K
82948 1,271 1,237 $34K
92567 390 383 $33K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 65 59 $31K
54161 12 12 $28K
92579 119 118 $26K
96167 146 145 $23K
L8613 Ossicula implant 893 883 $21K
86003 323 109 $21K
80069 140 128 $21K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 262 259 $20K
85007 1,248 1,014 $19K
69210 171 171 $18K
83690 225 225 $14K
36415 Collection of venous blood by venipuncture 13,219 12,317 $14K
87631 58 57 $12K
80048 Basic metabolic panel (calcium, ionized) 205 191 $10K
80050 General health panel 55 54 $9K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 103 103 $9K
70486 15 15 $9K
82784 108 106 $9K
85652 263 254 $7K
70450 Computed tomography, head or brain; without contrast material 12 12 $7K
76770 25 25 $7K
84145 196 187 $7K
92552 57 54 $5K
J2795 Injection, ropivacaine hydrochloride, 1 mg 161 160 $5K
83516 66 62 $4K
81025 81 80 $4K
92557 17 17 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 46 42 $4K
83001 49 39 $3K
82728 73 73 $3K
85045 89 87 $3K
82627 34 25 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,060 3,032 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 25 25 $3K
86480 43 42 $2K
92587 14 14 $2K
83002 34 27 $2K
83498 12 12 $2K
92556 28 26 $2K
92555 42 41 $2K
82977 27 24 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 31 31 $2K
82610 28 26 $1K
84146 15 12 $1K
86803 57 55 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg 39 39 $1K
90472 Immunization administration, each additional vaccine (list separately) 2,239 1,207 $992.53
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 34 32 $961.79
82040 15 15 $821.39
J0131 Injection, acetaminophen, not otherwise specified,10 mg 12 12 $764.98
83540 13 13 $763.18
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 199 199 $731.38
84460 13 12 $706.43
92551 12 12 $645.68
82043 12 12 $538.44
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 28 28 $440.52
86592 93 86 $419.96
83735 13 12 $296.34
0099U 61 61 $241.27
J0696 Injection, ceftriaxone sodium, per 250 mg 15 13 $175.56
S0020 Injection, bupivicaine hydrochloride, 30 ml 12 12 $107.13
90670 150 149 $0.00
90686 1,478 1,465 $0.00
90656 115 115 $0.00