Physician
Southeast Texas Pediatric Center PA
Southeast Texas Pediatric Center PA was paid $263K by Medicaid between Feb 2024 and Dec 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoSOUTHEAST TEXAS PEDIATRIC CENTER PA
NEDERLAND, TX 77627
NEDERLAND, TX 77627
33aNPI1720761075assigned 08/11/2023
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$263K
24GClaims10,347
24DCodes billed24
24AFirst – last monthFeb 2024 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Texas
Rank by total paid#14 of 21
Median peer was paid$446K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2024incomplete | 10,347 | $263K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 51% | 4,076 | 2,909 | $134K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 11% | 783 | 742 | $29K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.3% | 247 | 236 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.2% | 198 | 187 | $16K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.7% | 206 | 199 | $15K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.8% | 960 | 470 | $13K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.1% | 837 | 796 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.6% | 730 | 354 | $9K |
| 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 | 2.7% | 150 | 143 | $7K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 72 | 66 | $5K |
| 87807 | <1% | 201 | 186 | $2K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 31 | 29 | $1K |
12 more codes
| 92551 | <1% | 500 | $783.55 | |
| 69210 | <1% | 15 | $426.09 | |
| 96160 | <1% | 319 | $360.44 | |
| 90619 | <1% | 17 | $175.91 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 19 | $87.12 |
| 90461 | <1% | 46 | $0.20 | |
| 90677 | <1% | 52 | $0.01 | |
| 99173 | 0% | 177 | $0.00 | |
| 96127 | 0% | 526 | $0.00 | |
| 90656 | 0% | 136 | $0.00 | |
| 96161 | 0% | 33 | $0.00 | |
| 90698 | 0% | 16 | $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 officialMAYOR, ROBERTO (ADMINISTRATOR)